RUBY FAIRCHILD
NPI 1023539509
Nurse Practitioner - Family in New York, NY

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment
489 5TH AVE FL 3, NEW YORK, NY 10017(212) 440-0658 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2022, Dec 10, 2018, Jul 5, 2017 (3 updates tracked since 2017).

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

NPI1023539509
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRUBY FAIRCHILD
Location Address489 5TH AVE FL 3New York, NY 10017-6145
Mailing Address21444 Carmean WayGeorgetown, DE 19947-4572 · (302) 855-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 5, 2017
Last NPPES UpdateAugust 18, 20223 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
NPI 1023539509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in DE · LG-0001187
Also ListedRegistered NurseTaxonomy 163W00000X · License 717179-1 (NY)
489 5TH AVE FL 3, New York, NY 10017

Secondary Practice Locations 3

Location 1280 Fort Washington Ave Apt 56New York, NY 10032 · Phone (781) 467-9060
Location 221444 Carmean WayGeorgetown, DE 19947-4572 · Phone (302) 855-2020
Location 328 State St Ste 2860Boston, MA 02109-1789 · Phone (617) 903-5000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8820429772
PECOS Enrollment IDI20230414000487
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner
489 5TH AVE FL 3
NEW YORK, NY 10017
Physician Assistant
489 5TH AVE FL 3
NEW YORK, NY 10017
Physician Assistant
489 5TH AVE FL 3
NEW YORK, NY 10017
Physician Assistant
489 5TH AVE FL 3
NEW YORK, NY 10017
Nurse Practitioner (Community Health)
489 5TH AVE FL 3
NEW YORK, NY 10017
Nurse Practitioner
489 5TH AVE FL 3
NEW YORK, NY 10017
Nurse Practitioner (Family)
489 5TH AVE FL 3
NEW YORK, NY 10017
Physician Assistant
489 5TH AVE FL 3
NEW YORK, NY 10017

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.

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 with the weekly NPPES data releases published by CMS.