OrganizationActive
Fairbury Clinic, P.C.
NPI 1619948551 · Family Medicine Physician · Fairbury, NE
Provider details
- NPI number
- 1619948551
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacki Moellenberndt, Office Manager(402) 729-3361
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
825 22nd St
Fairbury, NE 68352-1299
Phone: (402) 729-3361
Fax: (402) 729-4010
Street-level locationGet directions
Mailing address
825 22nd St
Fairbury, NE 68352-1299
Registry dates
- Enumerated
- 2006-01-30
- Last updated
- 2010-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.