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DR. STACY FAIRBANKS M.D.
NPI 1730389644
Anesthesiology in Milwaukee, WI

Active since July 19, 2007PECOS Enrolled
945 N 12TH ST, MILWAUKEE, WI 53233(414) 219-2000 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Aug 28, 2020 (2 updates tracked since 2020).

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

NPI1730389644
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. STACY FAIRBANKSCredential: M.D.
Location Address945 N 12TH STMilwaukee, WI 53233-1305
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 219-2000
Sole ProprietorNo
Enumeration DateJuly 19, 2007
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1730389644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in WI · 73410
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
945 N 12TH ST, Milwaukee, WI 53233
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Secondary Practice Location 1

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-8700 · Fax (414) 259-1522

Other Identifiers 2

Medicaid100099772WI
Medicaid39889041CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacy Fairbanks M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

RANA MOHAMMED AL RUBAYE MD
Student in an Organized Health Care Education/Training Program
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-7427
RICHARD COMPTON KURTZ II MD
Family Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-0000
MS. ANN M YOCKEY APNP
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-5800
SARAH E KRAEMER PA-C
Physician Assistant
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-6777
DR. ALINA M WINANS MD
Emergency Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-2000
MS. MORANDA MARIA MEDINA-LOPEZ RN
Registered Nurse
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-2000
XENAYSHMA ZHAYLEENE GNAS-PACHECO
Registered Nurse (Registered Nurse First Assistant)
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 000-0000
PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
945 N 12TH ST, URGENT CARE
MILWAUKEE, WI 53233
Milwaukee County (414) 935-8000

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.

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 2 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.