INDY MARIE FAIRBANKS
NPI 1013267756
Social Worker - Clinical in Derby, KS
About Indy Marie Fairbanks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDY MARIE FAIRBANKS (NPI 1013267756) is an individual clinical provider in Derby, Kansas, licensed in Kansas (4661) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Indy Marie Fairbanks is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Indy Fairbanks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wichita, KS 67212
- Reassigned Medicare billing, Kansas enrollment
- 10 clinicians in this Medicare group
Independence, KS 67301
- Reassigned Medicare billing, Kansas enrollment
- 38 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 67037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Indy Fairbanks's NPI number?
The NPI number for Indy Fairbanks is 1013267756. It was assigned to this individual provider in the NPPES registry on September 10, 2012.
Where is Indy Fairbanks located?
Indy Fairbanks practices at 402 N River St Ste 200, Derby, KS 67037. The listed phone number is (316) 409-0565.
What is Indy Fairbanks's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Indy Fairbanks enrolled in Medicare?
Yes. Indy Fairbanks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Indy Fairbanks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Indy Fairbanks reassigns Medicare benefits to 2 organizations: Tag Treatment Center LLC (Wichita, KS) and Four County Mental Health Center Inc (Independence, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Indy Fairbanks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Indy Fairbanks accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 2 other insurers list Indy Fairbanks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Indy Fairbanks was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Indy Marie Fairbanks · NPI 1013267756
Clinical provider in Derby, Kansas. Individual provider, active in the CMS NPPES registry since September 10, 2012.
## Identity
- **NPI:** 1013267756 (Entity type: Individual)
- **Enumerated:** September 10, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 4661 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 402 N RIVER ST STE 200, Derby, KS 67037-1539
- **Phone:** (316) 409-0565
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tag Treatment Center LLC (NPI 1275011462, Wichita, KS); Four County Mental Health Center Inc (NPI 1841290251, Independence, KS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** December 16, 2025
- **Other identifiers:** Medicaid 200964810A (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1013267756) · Data from the CMS NPPES public registry.