DR. STACY FAIRBANKS M.D.
NPI 1730389644
Anesthesiology in Milwaukee, WI
About Dr. Stacy Fairbanks M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STACY FAIRBANKS M.D. (NPI 1730389644) is an individual anesthesiology provider in Milwaukee, Wisconsin, licensed in Wisconsin (73410) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Stacy Fairbanks M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Stacy Fairbanks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 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.
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.
MILWAUKEE, WI 53233
MILWAUKEE, WI 53233
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 Stacy Fairbanks's NPI number?
The NPI number for Stacy Fairbanks is 1730389644. It was assigned to this individual provider in the NPPES registry on July 19, 2007.
Where is Stacy Fairbanks located?
Stacy Fairbanks practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-2000.
What is Stacy Fairbanks's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Stacy Fairbanks enrolled in Medicare?
Yes. Stacy Fairbanks is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stacy Fairbanks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Fairbanks reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each 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 Stacy Fairbanks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Fairbanks accept?
Health plans from CareSource (Common Ground Healthcare) list Stacy 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 Stacy Fairbanks was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Stacy Fairbanks, M.D. · NPI 1730389644
Anesthesiology physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since July 19, 2007.
## Identity
- **NPI:** 1730389644 (Entity type: Individual)
- **Enumerated:** July 19, 2007
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 73410 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 945 N 12TH ST, Milwaukee, WI 53233-1305
- **Phone:** (414) 219-2000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Aurora Medical Group, Inc. (NPI 1427271378, Milwaukee, WI); The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2026
- **Other identifiers:** Medicaid 100099772 (WI); Medicaid 39889041 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1730389644) · Data from the CMS NPPES public registry.