Individual provider Active NPI

Cassie Fairchild, M.D.

  • Family Medicine Physician
  • Edmeston, NY
National Provider Identifier
1972913994
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
340989 Issued in NY
Practice address
15 Turner LN
Edmeston, NY 13335
Phone
(607) 965-8900
NPI assigned
Apr 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2017-0762 NM
Family Medicine Physician 207Q00000X 340989 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X RS2014-0350 NM

Addresses

Primary practice location

15 Turner LN
Edmeston, NY 13335

Mailing address

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3456

Other practice location 1

South Valley Health Center
2001 Centrol Familiar SW
Albuquerque, NM 87105-4592
Phone (505) 873-7400

Other practice location 2

University Of New Mexico Family Medicine
MSC 09-5040, 1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-8291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180622002105 NM Practitioner - Family Practice 6901128685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Community Healthcare, Inc.Group PAC ID 7315854049, 51 clinicians

Practice addresses (Care Compare)

2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone (505) 873-7400

Hospital & facility affiliations

  • Ambercare Home Health Home health agency, Belen, NM, CCN 327123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RS2014-0350NMMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Community Healthcare, Inc. Family Medicine CurrentSince May 1, 2018 Accepting new patients
First Choice Community Healthcare, Inc. Family Medicine CurrentSince May 1, 2018 Accepting new patients
First Choice Community Healthcare, Inc. Family Medicine Current Accepting new patients

Locations

2001 Centro Familiar Blvd SW
#31116
Albuquerque, NM 87105

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462

145 Don Pasqual Rd NW
Los Lunas, NM 87031
Phone (505) 224-8740

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1972913994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-547-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TURNER LN",
            "city": "EDMESTON",
            "state": "NY",
            "postal_code": "13335",
            "telephone_number": "607-965-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "South Valley Health Center",
            "address_2": "2001 Centrol Familiar SW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871054592",
            "country_code": "US",
            "telephone_number": "505-873-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "University Of New Mexico Family Medicine",
            "address_2": "MSC 09-5040, 1 University of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-8291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "CASSIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2017-0762",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "340989",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2014-0350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmeston, NY

Sources for this page

Verify at the official NPI Registry.