Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JANUARY K FIELDS
NPI 1124698840
Nurse Practitioner - Primary Care in Philadelphia, PA

Active since June 25, 2021PECOS Enrolled
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130(215) 235-9600(215) 684-5360 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 21, 2026, Apr 30, 2026, Jun 25, 2021 (3 updates tracked since 2021).

About January K Fields NPPES

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

JANUARY K FIELDS (NPI 1124698840) is an individual primary care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP035118) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124698840
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJANUARY K FIELDS
Location Address1412 FAIRMOUNT AVEPhiladelphia, PA 19130-2908
Mailing Address316 Fillmore StJenkintown, PA 19046-4328 · (215) 218-8700
Fax(215) 684-5360
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 25, 2021
Last NPPES UpdateSeptember 21, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1124698840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in PA · SP035118
1412 FAIRMOUNT AVE, Philadelphia, PA 19130

Secondary Practice Location 1

Location 13900 Woodland AvePhiladelphia, PA 19104-4551 · Phone (215) 885-6927

Other Identifiers 8

Medicaid1011880670005PA
Medicaid1011880670009PA
Medicaid101188067-0002PA
Medicaid1011880670006PA
Medicaid1011880670003PA
Medicaid101188067-0004PA
Medicaid101188067-0007PA
Medicaid1011880670008PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

January K Fields is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052883626
PECOS Enrollment IDI20260615002346
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 19130 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Student in an Organized Health Care Education/Training Program
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Family Medicine
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Physician Assistant
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Family Medicine (Adult Medicine)
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Student in an Organized Health Care Education/Training Program
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Social Worker (Clinical)
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Family Medicine
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130
Physician Assistant (Medical)
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130

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 January Fields's NPI number?

The NPI number for January Fields is 1124698840. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is January Fields located?

January Fields practices at 1412 Fairmount Ave, Philadelphia, PA 19130. The listed phone number is (215) 235-9600.

What is January Fields's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is January Fields enrolled in Medicare?

Yes. January Fields is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for January Fields was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.