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KELSEY N FAIRBANKS AUD
NPI 1710723341
Audiologist in Virginia, MN

Active since July 03, 2024
1101 9TH ST N, VIRGINIA, MN 55792(218) 305-0000 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2024, Jul 3, 2024 (2 updates tracked since 2024).

About Kelsey N Fairbanks Aud NPPES

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

KELSEY N FAIRBANKS AUD (NPI 1710723341) is an individual audiologist in Virginia, Minnesota, licensed in Minnesota (528649) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1710723341
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameKELSEY N FAIRBANKSCredential: AUD
Location Address1101 9TH ST NVirginia, MN 55792-2329
Mailing Address400 E 3rd StDuluth, MN 55805-1951
Phone(218) 305-0000
Sole ProprietorNo
Enumeration DateJuly 3, 2024
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1710723341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in MN · 528649
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
1101 9TH ST N, Virginia, MN 55792
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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, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey N Fairbanks Aud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

The Duluth Clinic, Ltd
0.1 mi
Multi-Specialty
901 9TH ST N
Virginia, MN 55792
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group
NPI 1538506894 (218) 741-3340

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LISA ANN SEEBER MD
Family Medicine
1101 9TH ST N
VIRGINIA, MN 55792
St. Louis County (218) 741-0150
BENJAMIN YOKEL
Dermatology
1101 9TH ST N
VIRGINIA, MN 55792
St. Louis County (218) 741-0150
JENNIFER LYNN KOBER
Nurse Practitioner (Family)
1101 9TH ST N
VIRGINIA, MN 55792
St. Louis County (218) 741-0150
MS. JESSICA RAE TICHY AUD
Audiologist
1101 9TH ST N
VIRGINIA, MN 55792
St. Louis County (218) 305-0000
RYAN SCOTT WATSON M.D.
Surgery
1101 9TH ST N
VIRGINIA, MN 55792
St. Louis County (218) 741-0150
DR. KATIE S LEWANDOWSKI DO
Surgery
1101 9TH ST N
VIRGINIA, MN 55792
St. Louis County (218) 741-0150
NICHOLAS BRIAN VIDOR M.D.
Family Medicine
1101 9TH ST N
VIRGINIA, MN 55792
St. Louis County (218) 305-0000
BROOKE ELIZABETH PETTINELLI NP
Nurse Practitioner (Family)
1101 9TH ST N, DULUTH CLINIC-VIRGINIA
VIRGINIA, MN 55792
St. Louis County (218) 741-0150

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 Kelsey Fairbanks's NPI number?

The NPI number for Kelsey Fairbanks is 1710723341. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Kelsey Fairbanks located?

Kelsey Fairbanks practices at 1101 9th St N, Virginia, MN 55792. The listed phone number is (218) 305-0000.

What is Kelsey Fairbanks's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Kelsey Fairbanks enrolled in Medicare?

Yes. Kelsey Fairbanks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Fairbanks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Fairbanks reassigns Medicare benefits to The Duluth Clinic, Ltd (Virginia, 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 Kelsey Fairbanks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Fairbanks accept?

Health plans from Anthem Blue Cross and Blue Shield and Sanford Health Plan list Kelsey 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 Kelsey Fairbanks was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.