KALIE FAIRCLOUGH NP
NPI 1053279380
Nurse Practitioner - Family in Las Cruces, NM
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, is affiliated with Mountain View Regional Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Kalie Fairclough Np 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 Kalie Fairclough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Las Cruces, NM 88011
- Reassigned Medicare billing, New Mexico enrollment
- 155 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mountain View Regional Medical Center
Acute Care Hospitals · Las Cruces, NMPhysician 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.
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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kalie Fairclough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kalie Fairclough reassigns Medicare benefits to Las Cruces Physician Services LLC (Las Cruces, NM). 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 Kalie Fairclough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kalie Fairclough affiliated with any hospitals?
According to CMS data, Kalie Fairclough is affiliated with Mountain View Regional Medical Center.
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 7 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.
# Kalie Fairclough, NP · NPI 1053279380
Family physician in Las Cruces, New Mexico. Individual provider, active in the CMS NPPES registry since January 14, 2026.
## Identity
- **NPI:** 1053279380 (Entity type: Individual)
- **Enumerated:** January 14, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 56472 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 3485 NORTHRISE DR, Las Cruces, NM 88011-6839
- **Phone:** (575) 382-2149
## 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:** Las Cruces Physician Services LLC (NPI 1215079678, Las Cruces, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053279380) · Data from the CMS NPPES public registry.