KELLY FAIRCHILD DO
NPI 1760913222
Obstetrics & Gynecology in Milwaukee, WI
About Kelly Fairchild Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY FAIRCHILD DO (NPI 1760913222) is an individual obstetrics & gynecology provider in Milwaukee, Wisconsin, licensed in New Jersey (25MB12545800) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Kelly Fairchild Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Fairchild reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
Jackson, NJ 08527
- Reassigned Medicare billing, New Jersey enrollment
- 149 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Community Medical Center
Acute Care Hospitals · Toms River, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Kelly Fairchild's NPI number?
The NPI number for Kelly Fairchild is 1760913222. It was assigned to this individual provider in the NPPES registry on March 25, 2017.
Where is Kelly Fairchild located?
Kelly Fairchild practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-5725.
What is Kelly Fairchild's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Kelly Fairchild enrolled in Medicare?
Yes. Kelly Fairchild 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 organizations bill Medicare for Kelly Fairchild's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Fairchild reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Lakewood Resource And Referral Center, Inc. (Jackson, NJ). 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 Kelly Fairchild's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Fairchild accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Moda Health Plan, Inc., Oscar Health and PacificSource Health Plans list Kelly Fairchild 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.
Is Kelly Fairchild affiliated with any hospitals?
According to CMS data, Kelly Fairchild is affiliated with Community Medical Center.
When was this NPI record last updated?
The NPPES record for Kelly Fairchild was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kelly Fairchild, DO · NPI 1760913222
Obstetrics & Gynecology physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since March 25, 2017.
## Identity
- **NPI:** 1760913222 (Entity type: Individual)
- **Enumerated:** March 25, 2017
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 25MB12545800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 945 N 12TH ST, Milwaukee, WI 53233-1305
- **Phone:** (414) 219-5725 · **Fax:** (414) 219-5611
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ); Lakewood Resource And Referral Center, Inc. (NPI 1124844816, Jackson, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760913222) · Data from the CMS NPPES public registry.