Individual provider Active NPI

Kelsey Fischer

  • Family Nurse Practitioner
  • Olivia, MN
National Provider Identifier
1114382603
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R1791444 Issued in MN
Practice address
100 Healthy Way
Olivia, MN 56277-1117
Phone
(320) 523-1261
Fax
(320) 523-3430
NPI assigned
Dec 28, 2015
Last updated
Dec 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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 R1791444 MN Primary

Addresses

Primary practice location

100 Healthy Way
Olivia, MN 56277-1117

Mailing address

100 Healthy Way
Olivia, MN 56277-1117
Phone (320) 523-1261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20160217002104 MN Practitioner - Nurse Practitioner 6800191511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpartners RCGroup PAC ID 5890126726, 52 clinicians

Practice addresses (Care Compare)

100 Healthy Way
Olivia, MN 56277-1117
Phone (320) 523-1460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
89.75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R1791444MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpartners RC CurrentSince May 1, 2020 Accepting new patients
Healthpartners RC Past Accepting new patients

Locations

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

Organizations & group practices 3

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": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1114382603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY",
            "city": "OLIVIA",
            "state": "MN",
            "postal_code": "562771117",
            "telephone_number": "320-523-1261",
            "fax_number": "320-523-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY",
            "city": "OLIVIA",
            "state": "MN",
            "postal_code": "562771117",
            "telephone_number": "320-523-1261",
            "fax_number": "320-523-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R1791444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olivia, MN

Sources for this page

Verify at the official NPI Registry.