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DANIELLE FAIRBANKS PA-C
NPI 1083232177
Physician Assistant in Mesa, AZ

Active since July 06, 2020PECOS EnrolledAccepts Medicare Assignment
1744 S VAL VISTA DR STE 5-108, MESA, AZ 85204(888) 663-6631(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Jul 6, 2020 (2 updates tracked since 2020).

About Danielle Fairbanks Pa-c NPPES

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

DANIELLE FAIRBANKS PA-C (NPI 1083232177) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (8028) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083232177
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDANIELLE FAIRBANKSCredential: PA-C
Location Address1744 S VAL VISTA DR STE 5-108Mesa, AZ 85204-7362
Mailing Address253 N PiedraMesa, AZ 85207-7561 · (262) 366-0419
Phone(888) 663-6631
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 6, 2020
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1083232177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 8028
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1744 S VAL VISTA DR STE 5-108, Mesa, AZ 85204
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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 and accepts Medicare assignment

Danielle Fairbanks Pa-c 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 ID3173943636
PECOS Enrollment IDI20201021003437
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.

Areas of Expertise CMS Part B claims 2

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85204 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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

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

DARYL GREENHALL PA
Physician Assistant
1744 S VAL VISTA DR STE 5-108
MESA, AZ 85204
Maricopa County (888) 663-6331

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 Danielle Fairbanks's NPI number?

The NPI number for Danielle Fairbanks is 1083232177. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Danielle Fairbanks located?

Danielle Fairbanks practices at 1744 S Val Vista Dr Ste 5-108, Mesa, AZ 85204. The listed phone number is (888) 663-6631.

What is Danielle Fairbanks's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Danielle Fairbanks enrolled in Medicare?

Yes. Danielle Fairbanks 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.

When was this NPI record last updated?

The NPPES record for Danielle Fairbanks was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.