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FABIENNE FIFY
NPI 1063263572
Nurse Practitioner - Gerontology in La Porte, IN

Active since April 01, 2024PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2025, Apr 1, 2024 (2 updates tracked since 2024).

About Fabienne Fify NPPES

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

FABIENNE FIFY (NPI 1063263572) is an individual gerontology provider in La Porte, Indiana, licensed in Indiana (MF9072769) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063263572
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameFABIENNE FIFY
Location Address1700 I STLa Porte, IN 46350-5750
Mailing Address1118 W 112th PlChicago, IL 60643-4518
Phone(708) 288-5036
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 1, 2024
Last NPPES UpdateMarch 1, 20252 updates tracked since enumeration
NPPES CertifiedMarch 1, 2025
✔ NPI 1063263572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in IN · MF9072769✔ Licensed in IN · 71015257A
1700 I ST, La Porte, IN 46350
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Fabienne Fify 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 ID3072059500
PECOS Enrollment IDI20240722000264
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Fabienne Fify reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Theoria Medical
181 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Indiana enrollment
  • 90 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634
Complexcare Medical Group Midwest H PLLC
181 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Indiana enrollment
  • 29 clinicians in this Medicare group
NPI 1457144933 (248) 660-1220

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 5

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
47 services31 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
30 services22 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
23 services15 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
22 services22 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
19 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46350 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 3

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

HENDRICKS COUNTY HOSPITAL
Skilled Nursing Facility
1700 I ST
LA PORTE, IN 46350
Laporte County (219) 362-6234
DYCORA TRANSITIONAL HEALTH - LA PORTE LLC
Skilled Nursing Facility
1700 I ST
LA PORTE, IN 46350
Laporte County (219) 362-6234
RACHEL N KENNEDY FNP
Nurse Practitioner (Family)
1700 I ST
LA PORTE, IN 46350
Laporte County (219) 362-6234

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 Fabienne Fify's NPI number?

The NPI number for Fabienne Fify is 1063263572. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Fabienne Fify located?

Fabienne Fify practices at 1700 I St, La Porte, IN 46350. The listed phone number is (708) 288-5036.

What is Fabienne Fify's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Fabienne Fify enrolled in Medicare?

Yes. Fabienne Fify 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 Fabienne Fify's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fabienne Fify reassigns Medicare benefits to 2 organizations: Theoria Medical (Novi, MI) and Complexcare Medical Group Midwest H PLLC (Novi, MI). 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 Fabienne Fify's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fabienne Fify accept?

Health plans from CareSource list Fabienne Fify 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 Fabienne Fify was last updated on March 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.