Michael Fitz

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209020357 Issued in IL

Practice address

6205 Westminster CT
Springfield, IL 62711-6728

Phone

(314) 494-8122

NPI assigned

Sep 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1134735343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 WESTMINSTER CT",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 WESTMINSTER CT",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116728",
            "telephone_number": "314-494-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZ",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209020357",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Springfield",
            "affiliation": "N",
            "address_1": "6205 Westminster Ct",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627116728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Springfield",
            "affiliation": "N",
            "address_1": "6205 Westminster Ct",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627116728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Springfield",
            "affiliation": "N",
            "address_1": "6205 Westminster Ct",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627116728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Springfield",
            "affiliation": "N",
            "address_1": "6205 Westminster Ct",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627116728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Walker Fischer-Valuck, MD
• David Fischer, DDS
• Liam James Fischer, D.O.
• Kelli C. Fisher, FNP
• John R Fisk, M.D.
• Hayley Fitzpatrick
• Jack Weston Fitzsimons, MD
• Five Star Rehabilitation and Wellness Services LLC
• John Mark Flack, MD, MPH
• Shelly Flagg, FNP-BC

• Family Nurse Practitioner in Springfield, IL
• Providers in Springfield, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.