MADDALENA FAIRCHILD
NPI 1790644383
Physician Assistant in Roanoke, IL

Q: What is Maddalena Fairchild's NPI number?

The NPI number for Maddalena Fairchild is 1790644383. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Q: What is Maddalena Fairchild's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 19, 2026PECOS Enrolled

401 N MAIN ST, ROANOKE, IL 61561(309) 923-2661 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Maddalena Fairchild NPPES

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

MADDALENA FAIRCHILD (NPI 1790644383) is an individual physician assistant in Roanoke, Illinois, licensed in Illinois (085.011960) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790644383

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMADDALENA FAIRCHILD

Location Address401 N MAIN STRoanoke, IL 61561-7585

Mailing Address2970 Briarwood LnTitusville, FL 32796-1689

Phone(309) 923-2661

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 19, 2026

NPPES CertifiedJanuary 19, 2026

✔ NPI 1790644383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085.011960

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

401 N MAIN ST, Roanoke, IL 61561

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maddalena Fairchild is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961987417

PECOS Enrollment IDI20260401003484

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61561 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Leave this field empty

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.

MRS. RACHEL NICOLE ANDERSON APP

Nurse Practitioner (Family)