Fairview Health Services
NPI 1104392398 · Prosthetic/Orthotic Supplier · Woodbury, MN
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Orthotic-Prosthetic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairview Health Services is a Prosthetic/Orthotic Supplier organization in Woodbury, MN (NPI 1104392398).
Provider details
- NPI number
- 1104392398
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jill Mccartney, System Executive Hme O&p(651) 632-9835
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-16
- Last updated
- 2025-11-03
- Certified
- 2025-11-03
Frequently asked questions
- What is Fairview Health Services's NPI number?
- Fairview Health Services's National Provider Identifier (NPI) is 1104392398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairview Health Services?
- Fairview Health Services is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Fairview Health Services located?
- Fairview Health Services's practice location on file with NPPES is 1875 Woodwinds Dr Ste 150, Woodbury, MN 55125-2518.
- What is Fairview Health Services's phone number?
- The practice phone number listed in the NPPES registry for Fairview Health Services is (651) 683-7000.
- Does Fairview Health Services accept Medicare?
- Fairview Health Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fairview Health Services?
- The authorized official listed on Fairview Health Services's NPPES record is Jill Mccartney, System Executive Hme O&p. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairview Health Services's NPI active?
- Yes — Fairview Health Services's NPI (1104392398) is active in the NPPES registry as of the last update on 2025-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.