Individual provider Active NPI

Andrea Marie Fisk, MD

  • Emergency Medicine Physician
  • Natrona Heights, PA
National Provider Identifier
1033345921
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD449237 Issued in PA
Practice address
1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone
(310) 623-0829
NPI assigned
Jun 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD449237 PA Primary

Addresses

Primary practice location

1301 Carlisle St
Natrona Heights, PA 15065-1152

Mailing address

213 Guyasuta Rd
Pittsburgh, PA 15215-1518
Phone (310) 623-0829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20141111000041 WA Practitioner - Emergency Medicine 0941448815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puget Sound Physicians PLLCGroup PAC ID 2961301882, 47 clinicians

Practice addresses (Care Compare)

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
95.59
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
78.83
Promoting interoperability
100
Improvement activities
40
Cost
66.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD449237PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Physicians PLLC Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Eastside Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Eastside Emergency Physicians PLLC Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Emergency Medicine Physicians of Allegheny County LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Alle-Kiski, LTD Emergency Medicine Past Accepting new patients

Locations

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

3011 196th St SW
Lynnwood, WA 98036
Phone (425) 688-5759

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

Organizations & group practices 6

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 2

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1033345921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 GUYASUTA RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152151518",
            "telephone_number": "310-623-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CARLISLE ST",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150651152",
            "telephone_number": "310-623-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISK",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD449237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

Verify at the official NPI Registry.