Individual provider Active NPI

Abigail L Fischer, CPNP AC PC

  • Pediatric Nurse Practitioner
  • Sidney, OH
National Provider Identifier
1104084706
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP-07931 Issued in OH
Practice address
915 Michigan St Ste 200
Sidney, OH 45365-2401
Phone
(937) 498-5513
Fax
(937) 497-5674
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN.CNP-07931 OH Primary

Addresses

Primary practice location

915 Michigan St Ste 200
Sidney, OH 45365-2401

Mailing address

PO Box 933432
Cleveland, OH 44193-0039
Phone (937) 641-4000

Other identifiers 1

IdentifierTypeStateIssuer
3030366MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250211000894 OH Practitioner - Nurse Practitioner 0143750828 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP-07931OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children'S Specialty Physicians, Inc. CurrentSince Feb 17, 2025 Accepting new patients
Dayton Children'S Specialty Physicians, Inc. Pediatrics CurrentSince Feb 2, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Shelby County Memorial Hospital Association Inc. Past Accepting new patients
Wilson Care, LLC Past Accepting new patients

Locations

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

915 Michigan St
Ste 200
Sidney, OH 45365
Phone (937) 498-4880

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1104084706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933432",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930039",
            "telephone_number": "937-641-4000",
            "fax_number": "937-641-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST STE 200",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-498-5513",
            "fax_number": "937-497-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "ABIGAIL",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CPNP AC PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP-07931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3030366",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

Verify at the official NPI Registry.