Individual provider Active NPI

Kelsey Morgan Fischer, PA-C

  • Physician Assistant
  • Vero Beach, FL
National Provider Identifier
1124877204
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118787 Issued in FL
Practice address
3955 Indian River Blvd Ste 100
Vero Beach, FL 32960-4845
Phone
(772) 569-2330
Fax
(772) 569-2630
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9118787 FL
Surgical Physician Assistant 363AS0400X PA9118787 FL
Physician Assistant 363A00000X PA9118787 FL Primary

Addresses

Primary practice location

3955 Indian River Blvd Ste 100
Vero Beach, FL 32960-4845

Mailing address

3955 Indian River Blvd Ste 100
Vero Beach, FL 32960-4845
Phone (772) 569-2330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240808003704 FL Practitioner - Physician Assistant 6002353943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vero Orthopaedics II PAGroup PAC ID 2567454051, 48 clinicians

Practice addresses (Care Compare)

3955 Indian River Blvd
Suite 100
Vero Beach, FL 32960-4800

801 Wellness Way
Suite 100
Sebastian, FL 32958-3783
Phone (772) 388-9510

Hospital & facility affiliations

  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Willowbrooke Court at Indian River Estates Nursing home, Vero Beach, FL, CCN 105593

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9118787FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vero Orthopaedics II PA CurrentSince Aug 4, 2024 Accepting new patients

Locations

801 Wellness Way
Ste 100
Sebastian, FL 32958
Phone (772) 388-9510

3955 Indian River Blvd
Ste 100
Vero Beach, FL 32960
Phone (772) 569-2330

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kelsey.fischer.p1@direct.veroortho.nextgenshare.com

Organizations & group practices 2

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 3

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1124877204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 INDIAN RIVER BLVD STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604845",
            "telephone_number": "772-569-2330",
            "fax_number": "772-569-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 INDIAN RIVER BLVD STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604845",
            "telephone_number": "772-569-2330",
            "fax_number": "772-569-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "KELSEY",
        "middle_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9118787",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9118787",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.