RUBY FAIRCHILD
NPI 1023539509
Nurse Practitioner - Family in New York, NY
About Ruby Fairchild NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUBY FAIRCHILD (NPI 1023539509) is an individual family provider in New York, New York, licensed in Delaware (LG-0001187) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
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
Ruby Fairchild 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 Reassignment
Medicare enrollment records show Ruby Fairchild reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burlington, MA 01803
- Reassigned Medicare billing, Massachusetts enrollment
- 350 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10017 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 20
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 Ruby Fairchild's NPI number?
The NPI number for Ruby Fairchild is 1023539509. It was assigned to this individual provider in the NPPES registry on July 5, 2017.
Where is Ruby Fairchild located?
Ruby Fairchild practices at 489 5th Ave Fl 3, New York, NY 10017. The listed phone number is (212) 440-0658.
What is Ruby Fairchild's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ruby Fairchild enrolled in Medicare?
Yes. Ruby Fairchild 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 organization bills Medicare for Ruby Fairchild's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Fairchild reassigns Medicare benefits to Mass General Brigham Community Physicians Inc. (Burlington, MA). The 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 Ruby Fairchild's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ruby Fairchild accept?
Health plans from Anthem Blue Cross and Blue Shield list Ruby Fairchild 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 Ruby Fairchild was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Ruby Fairchild · NPI 1023539509
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 5, 2017.
## Identity
- **NPI:** 1023539509 (Entity type: Individual)
- **Enumerated:** July 5, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** LG-0001187 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 489 5TH AVE FL 3, New York, NY 10017-6145
- **Phone:** (212) 440-0658
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mass General Brigham Community Physicians Inc. (NPI 1639773039, Burlington, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023539509) · Data from the CMS NPPES public registry.