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DR. JENNIFER LYNN FAIRBANKS O.D
NPI 1386081065
Optometrist in Willmar, MN

Active since June 04, 2013PECOS EnrolledAccepts Medicare Assignment
1801 19TH AVE SW, WILLMAR, MN 56201(320) 235-2020 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jennifer Lynn Fairbanks O.d NPPES

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

DR. JENNIFER LYNN FAIRBANKS O.D (NPI 1386081065) is an individual optometrist in Willmar, Minnesota, licensed in Minnesota (3334) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2013).

NPPES Registry Identity

NPI1386081065
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JENNIFER LYNN FAIRBANKSCredential: O.D
Location Address1801 19TH AVE SWWillmar, MN 56201
Mailing Address1801 19th Ave SwWillmar, MN 56201 · (320) 235-2020
Phone(320) 235-2020
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2013
Enumeration DateJune 4, 2013
Last NPPES UpdateJune 5, 2013
✔ NPI 1386081065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 3334
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1801 19TH AVE SW, Willmar, MN 56201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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

Dr. Jennifer Lynn Fairbanks O.d 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 ID1254572605
PECOS Enrollment IDI20130726000398
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 Reassignment

Medicare enrollment records show Jennifer Fairbanks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thomas N Johnson Optometric Corp
55 mi
Optometrist
210 2ND AVE N
Sauk Rapids, MN 56379
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group
NPI 1275772790 (320) 257-4990

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 56201 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 19

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

DR. WHITNEY STOCK OD
Optometrist
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 235-2020
DR. JONATHAN W MELLEMA MD
Otolaryngology
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 231-3277
THOMAS J LENZ O.D.
Optometrist (Corneal and Contact Management)
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 235-2020
DR. MICHAEL L NOVAK O.D.
Optometrist (Corneal and Contact Management)
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 235-2020
AUDIOLOGY CENTER INC.
Audiologist
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 214-7256
SHANE JAHRAUS
Optometrist
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 235-2020
DR. JEFFREY L FISCHER M.D.
Ophthalmology
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 235-2020
KARA DE GROOT ARNP
Nurse Practitioner
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (000) 000-0000

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 Jennifer Fairbanks's NPI number?

The NPI number for Jennifer Fairbanks is 1386081065. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Jennifer Fairbanks located?

Jennifer Fairbanks practices at 1801 19th Ave SW, Willmar, MN 56201. The listed phone number is (320) 235-2020.

What is Jennifer Fairbanks's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jennifer Fairbanks enrolled in Medicare?

Yes. Jennifer 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.

Which organization bills Medicare for Jennifer Fairbanks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Fairbanks reassigns Medicare benefits to Thomas N Johnson Optometric Corp (Sauk Rapids, MN). 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 Jennifer Fairbanks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Fairbanks accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Jennifer Fairbanks 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 Jennifer Fairbanks was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.