Vanessa Rene Fisher, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1674 Issued in TN

Practice address

1255 W Rio Salado Pkwy Ste 107
Tempe, AZ 85281-2892

Phone

(480) 962-0071

Fax

(480) 962-0590

NPI assigned

Oct 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Miss Vanessa Rene Breaux Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
• Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013
• Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318
• Banner Ocotillo Medical Center Hospital, Chandler, AZ, CCN 030147

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vfisher359845@direct.honorhealth.com
• Direct secure messaging: vanessa.lo.p1@direct.toa.nextgenshare.com
• Direct secure messaging: vanessa.lo.p2@direct.toa.nextgenshare.com
• Direct secure messaging: vanessa.lo.p3@direct.toa.nextgenshare.com

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.

• Yuma Regional Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  Medicare reassignment Care Compare group NPD
• Honorhealth Ambulatory

  • Hematology & Oncology Physician
  • Scottsdale, AZ
  • NPI 1407050917
  Medicare reassignment Care Compare group
• Sonoran Spine Center P.C.

  • Orthopaedic Surgery of the Spine Physician
  • Tempe, AZ
  • NPI 1013975333
  Medicare reassignment
• Honorhealth Ambulatory

  • Cardiovascular Disease Physician
  • Phoenix, AZ
  • NPI 1649894890
  NPD
• Honorhealth Ambulatory

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1891518130
  NPD
• Honorhealth Ambulatory

  • Cardiovascular Disease Physician
  • Scottsdale, AZ
  • NPI 1275833915

  Medical

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner Health

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340
  Care Compare affiliation
• Banner Health

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1972139004
  Care Compare affiliation
• Honorhealth

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1811951429
  Care Compare affiliation
• Yuma Regional Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  Care Compare affiliation

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1184876492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W RIO SALADO PKWY STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812892",
            "telephone_number": "480-962-0071",
            "fax_number": "480-962-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W RIO SALADO PKWY STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812892",
            "telephone_number": "480-962-0071",
            "fax_number": "480-962-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "VANESSA",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1674",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "1674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4214995",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4214994",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "BREAUX",
            "middle_name": "RENE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• First Person Care Clinic
• First Priority Medical Transport LLC
• First Step Weight Loss, PLLC
• Tara Liffey Fischer, LPC
• Hayley Elizabeth Fisher
• Margaret (Peggi) Marie Fitzgerald-Paeper, CCC-SLP
• Traci N Fitzhugh, MD
• Crystal Monique Fix, ATC/L
• Michele M Flanagan, NP
• Mark Christopher Fleming, PH.D.

• Surgical Physician Assistant in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.