Individual provider Active NPI

Jessica Collins Fairchilds, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1639696743
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
901911 Issued in MS
Practice address
109 W 27TH St RM 5S
New York, NY 10001-6208
Phone
(883) 351-8255
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 901911 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-79148-102 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2020009152 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 901911 MS Primary

Addresses

Primary practice location

109 W 27TH St RM 5S
New York, NY 10001-6208

Mailing address

109 W 27TH St RM 5S
New York, NY 10001-6208
Phone (833) 351-8255

Other practice location 1

8101 College Blvd Ste 100
Overland Park, KS 66210-2671
Phone (833) 351-8255

Other names 1

  • Jessica Aaron Collins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, MO, KS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171120002169 MS Practitioner - Nurse Practitioner 5395002729 Reassigns benefits to 2 organizations
I20210406001661 MO Practitioner - Nurse Practitioner 5395002729 Reassigns benefits to 1 organization
I20210902003383 KS Practitioner - Nurse Practitioner 5395002729 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

10 Canebrake Blvd
Flowood, MS 39232-2211
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-79148-102KSMDPsychiatric/Mental Health Nurse Practitioner
901911MSMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Counseling and Consultation CurrentSince Dec 5, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Oct 4, 2017 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Oct 4, 2017 Accepting new patients
New Liberty Hospital Coporation CurrentSince Aug 13, 2022 Accepting new patients
Olathe Health Physicians, Inc. Current Accepting new patients
New Liberty Hospital Corporation CurrentSince Aug 13, 2022 Accepting new patients
Elizabeth Layton Center, Inc. CurrentSince Feb 8, 2023 Accepting new patients
New Liberty Hospital Corporation Current Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince May 12, 2025 Accepting new patients
Elizabeth Layton Center, Inc. CurrentSince Jul 18, 2022 Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients

Locations

5815 Broadway Ave
Great Bend, KS 67530
Phone (620) 792-2544

20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393

23450 College Blvd
Olathe, KS 66061
Phone (913) 355-7788

2537 Eisenhower Rd
Ottawa, KS 66067
Phone (785) 242-2183

8101 College Blvd
Ste 100
Overland Park, KS 66210
Phone (913) 227-9605

25955 W 327th St
Paola, KS 66071
Phone (913) 557-9096

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

10 Canebrake Blvd
Flowood, MS 39232
Phone (601) 253-3291

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1639696743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST RM 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016208",
            "telephone_number": "833-351-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST RM 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016208",
            "telephone_number": "883-351-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 College Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662102671",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRCHILDS",
        "first_name": "JESSICA",
        "middle_name": "COLLINS",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "901911",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-79148-102",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2020009152",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "901911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "COLLINS",
            "middle_name": "AARON",
            "credential": "FNP, PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.