Individual provider Active NPI

Ruth Fisher, NP

  • Family Nurse Practitioner
  • Goshen, IN
National Provider Identifier
1104584366
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012046A Issued in IN
Practice address
2014 S Main St
Goshen, IN 46526-5235
Phone
(574) 533-8639
Fax
(574) 534-9542
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012046A IN Primary

Addresses

Primary practice location

2014 S Main St
Goshen, IN 46526-5235

Mailing address

2014 S Main St
Goshen, IN 46526-5235

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ruth.fisher@goshenhealthdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20211223000516 IN Practitioner - Nurse Practitioner 0446641641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians

Practice addresses (Care Compare)

2014 S Main St
Suite B
Goshen, IN 46526-5235
Phone (574) 533-8639

Hospital & facility affiliations

  • Goshen Hospital Hospital, Goshen, IN, CCN 150026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71012046AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Health System Inc CurrentSince Jan 16, 2022 Accepting new patients
Goshen Health System Inc CurrentSince Jan 16, 2022 Accepting new patients
Goshen Health System, Inc Family CurrentSince Jun 16, 2024 Accepting new patients
Goshen Hospital Association Inc Current Accepting new patients

Locations

2014 S Main St
Ste B
Goshen, IN 46526
Phone (574) 533-8639

2014 S Main St
Ste A
Goshen, IN 46526
Phone (219) 534-6752

2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752

2014 S Main St
Goshen, IN 46526
Phone (574) 533-8639

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 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": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1104584366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 S MAIN ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 S MAIN ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265235",
            "telephone_number": "574-533-8639",
            "fax_number": "574-534-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012046A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ruth.fisher@goshenhealthdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2014 S Main St",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465265235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.