JANUARY K FIELDS
NPI 1124698840
Nurse Practitioner - Primary Care in Philadelphia, PA
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 8
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
January K Fields is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show January Fields reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Pennsylvania enrollment
- 553 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.
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.
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.
PHILADELPHIA, PA 19130
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.
Which organization bills Medicare for January Fields's services?
According to the CMS Revalidation Reassignment List (October 2026 release), January Fields reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 January Fields's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 29 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.
# January K Fields · NPI 1124698840
Primary Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 25, 2021.
## Identity
- **NPI:** 1124698840 (Entity type: Individual)
- **Enumerated:** June 25, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** SP035118 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1412 FAIRMOUNT AVE, Philadelphia, PA 19130-2908
- **Phone:** (215) 235-9600 · **Fax:** (215) 684-5360
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 21, 2026
- **Other identifiers:** Medicaid 1011880670005 (PA); Medicaid 1011880670009 (PA); Medicaid 101188067-0002 (PA); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1124698840) · Data from the CMS NPPES public registry.