Maryssa Fairbanks, PA
NPI 1891653804 · Physician Assistant · Kingman, AZ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maryssa Fairbanks, PA is a Physician Assistant provider in Kingman, AZ (NPI 1891653804).
Provider details
- NPI number
- 1891653804
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% 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
- 2026-01-10
- Last updated
- 2026-01-10
- Certified
- 2026-01-10
Frequently asked questions
- What is Maryssa Fairbanks's NPI number?
- Maryssa Fairbanks's National Provider Identifier (NPI) is 1891653804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maryssa Fairbanks's specialty?
- Maryssa Fairbanks is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Maryssa Fairbanks located?
- Maryssa Fairbanks's practice location on file with NPPES is 1739 E Beverly Ave Ste 102, Kingman, AZ 86409-3593.
- What is Maryssa Fairbanks's phone number?
- The practice phone number listed in the NPPES registry for Maryssa Fairbanks is (928) 681-8693.
- Does Maryssa Fairbanks accept Medicare?
- Maryssa Fairbanks is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maryssa Fairbanks's NPI active?
- Yes — Maryssa Fairbanks's NPI (1891653804) is active in the NPPES registry as of the last update on 2026-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.