Individual provider Active NPI

Lynn R Fisher, M.D.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1083615447
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-30818 Issued in KS
Practice address
1010 N Kansas St Ste 3001D
Wichita, KS 67214-3124
Phone
(316) 293-2607
Fax
(316) 293-2696
NPI assigned
Aug 9, 2005
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-30818 KS Primary

Addresses

Primary practice location

1010 N Kansas St Ste 3001D
Wichita, KS 67214-3124

Mailing address

1010 N Kansas St Ste 3001D
Wichita, KS 67214-3124
Phone (316) 293-2607

Other identifiers 4

IdentifierTypeStateIssuer
200269400CMedicaidKS
111215OtherKSBC/BS GROUP
460593OtherKSCHILDREN'S MERCY FAMILY H
105275OtherKSBC/BS INDIVIDUAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LYNN.FISHER@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20040923000225 KS Practitioner - Family Practice 8729056114 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rooks County Health CenterGroup PAC ID 8325959331, shared by 7 NPIs, 40 clinicians

Practice addresses (Care Compare)

1210 N Washington St
Plainville, KS 67663-1632
Phone (785) 434-2622

651 E Prescott Rd
Salna Family Healthcare Center
Salina, KS 67401-7408
Phone (785) 825-7251

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-30818KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rooks County Health Center Family Medicine CurrentSince Mar 12, 2011 Accepting new patients
Rooks County Health Center CurrentSince Mar 12, 2011 Accepting new patients
Salina Health Education Foundation Family Medicine CurrentSince Jul 15, 2024 Accepting new patients
Wesley Physicians Medical Specialties LLC CurrentSince Dec 9, 2019 Accepting new patients
Rooks County Health Center Family Medicine CurrentSince Oct 1, 2011 Accepting new patients
Salina Health Education Foundation CurrentSince Jul 15, 2024 Accepting new patients
Wesley Medical Center LLC Past Accepting new patients
Salina Health Education Foundation Past Accepting new patients

Locations

2676 Planet Ave
Salina, KS 67401
Phone (785) 823-3937

651 E Prescott Rd
Salina, KS 67401
Phone (785) 825-7251

2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690

850 N Hillside St
Wichita, KS 67214
Phone (316) 688-3070

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: lynn.fisher.1@14134.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1083615447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST STE 3001D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-293-2607",
            "fax_number": "316-293-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST STE 3001D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-293-2607",
            "fax_number": "316-293-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "LYNN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-30818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200269400C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP",
            "identifier": "111215",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S MERCY FAMILY H",
            "identifier": "460593",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDIVIDUAL",
            "identifier": "105275",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LYNN.FISHER@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1010 N Kansas St Ste 3001D",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672143124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.