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KALIE FAIRCLOUGH NP
NPI 1053279380
Nurse Practitioner - Family in Las Cruces, NM

Active since January 14, 2026PECOS Enrolled
3485 NORTHRISE DR, LAS CRUCES, NM 88011(575) 382-2149 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2026, Jan 14, 2026 (2 updates tracked since 2026).

About Kalie Fairclough Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALIE FAIRCLOUGH NP (NPI 1053279380) is an individual family provider in Las Cruces, New Mexico, licensed in New Mexico (56472) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053279380
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKALIE FAIRCLOUGHCredential: NP
Location Address3485 NORTHRISE DRLas Cruces, NM 88011-6839
Mailing Address3485 Northrise Dr Ste 2Las Cruces, NM 88011-6839 · (575) 382-2149
Phone(575) 382-2149
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 14, 2026
Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1053279380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · 56472
3485 NORTHRISE DR, Las Cruces, NM 88011
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kalie Fairclough Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901371616
PECOS Enrollment IDI20260410000718
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 88011 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERRI HOWELL DO
Family Medicine
3485 NORTHRISE DR, SUITE 2
LAS CRUCES, NM 88011
Doña Ana County (575) 382-2149
AARON PFAU D.O.
Family Medicine
3485 NORTHRISE DR, STE 2
LAS CRUCES, NM 88011
Doña Ana County (575) 382-2149
STEVEN L ACOSTA M.D.
Emergency Medicine
3485 NORTHRISE DR, SUITE 1
LAS CRUCES, NM 88011
Doña Ana County (575) 382-2161
DR. RENE A GUERRERO MD
Family Medicine
3485 NORTHRISE DR, SUITE 2
LAS CRUCES, NM 88011
Doña Ana County (575) 382-2149

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 Kalie Fairclough's NPI number?

The NPI number for Kalie Fairclough is 1053279380. It was assigned to this individual provider in the NPPES registry on January 14, 2026.

Where is Kalie Fairclough located?

Kalie Fairclough practices at 3485 Northrise Dr, Las Cruces, NM 88011. The listed phone number is (575) 382-2149.

What is Kalie Fairclough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kalie Fairclough enrolled in Medicare?

Yes. Kalie Fairclough is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kalie Fairclough was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.