NPIMap

Individual provider Active NPI

Emily Fisher, PA-C

  • Physician Assistant
  • Harrisburg, PA
National Provider Identifier
1073050589
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
820 Sir Thomas CT
Harrisburg, PA 17109-4839
Phone
(717) 652-9555
Fax
(717) 791-2621
NPI assigned
Jan 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X VA
Physician Assistant 363A00000X PA Primary

Addresses

Primary practice location

820 Sir Thomas CT
Harrisburg, PA 17109-4839

Mailing address

820 Sir Thomas CT
Harrisburg, PA 17109-4839
Phone (717) 652-9555

Other practice location 1

1830 Good Hope Rd
Enola, PA 17025-1233
Phone (717) 652-9555

Other identifiers 2

IdentifierTypeStateIssuer
103852992MedicaidPA
1073050589MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address efisher198941@phsdirect.pinnaclehealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210127000094 PA Practitioner - Physician Assistant 5395021372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Valley Pain Management, P.C.Group PAC ID 8022063171, 6 clinicians

Practice addresses (Care Compare)

290 E Pomfret St
Carlisle, PA 17013-2579
Phone (717) 652-8670

5124 E Trindle Rd
Mechanicsburg, PA 17050-3688
Phone (717) 652-8670

825 Sir Thomas CT
Harrisburg, PA 17109-4839

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Merit-based Incentive Payment System (MIPS)

Final score
86.38 of 100Reported as group
Quality
88.78
Improvement activities
40
Cost
69.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA062280PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jan 12, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 12, 2021 Accepting new patients

Locations

1830 Good Hope Rd
Enola, PA 17025
Phone (717) 732-8877

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

820 Sir Thomas Ct
Harrisburg, PA 17109
Phone (717) 724-4870

Interoperability endpoints

  • Direct secure messaging: efisher@svpainclinic.medentdirect.com
  • Direct secure messaging: erichards287658@direct.sentara.net

Organizations & group practices 4

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 9

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": "1485043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1073050589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SIR THOMAS CT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-652-9555",
            "fax_number": "717-791-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SIR THOMAS CT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-652-9555",
            "fax_number": "717-791-2621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 Good Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Enola",
            "state": "PA",
            "postal_code": "170251233",
            "country_code": "US",
            "telephone_number": "717-652-9555",
            "fax_number": "717-791-2621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-22",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103852992",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073050589",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "efisher198941@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "820 Sir Thomas Ct",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171094839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.