Rachelle Long Fischer, FNP
Individual provider Active NPI Family Nurse Practitioner · Rolla, ND
NPI 1215414099 · NPPES record last updated Jul 24, 2018
Key facts
- NPI
- 1215414099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R46513 (ND)
- Practice address
- 213 2ND Ave NE
Rolla, ND 58367-7153 - Phone
- (701) 477-3161
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Walnut Street Community Health Center, Inc.
Practice addresses (Care Compare)
201 S Cleveland Ave
Hagerstown, MD 21740-5745
Phone (301) 745-3777
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181108000901 | ND | Practitioner - Nurse Practitioner | 6507110624 | Reassigns benefits to 2 organizations |
| I20250117003803 | MD | Practitioner - Nurse Practitioner | 6507110624 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walnut Street Community Health Center, Inc. | Current |
Accepting new patients | |
| Walnut Street Community Health Center, Inc. | Current |
Accepting new patients | |
| Presentation Medical Center | Current |
Accepting new patients | |
| Presentation Medical Center | Current |
Accepting new patients | |
| Presentation Medical Center | Past | Accepting new patients |
Locations
201 S Cleveland Ave
Hagerstown, MD 21740
Phone (301) 745-3777
Interoperability endpoints
- rachaellefischer@pmc.securechart.com
- rachelle.fischer.1@30195.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R46513 | ND | Yes |
Addresses
Primary practice location
213 2ND Ave NE
Rolla, ND 58367-7153
Mailing address
602 5TH St NE
Rolla, ND 58367-7320
Phone (703) 477-8384
Other providers in Rolla, ND
- McKenzie M Day
- Kodi Lynn Decoteau
- Alaina M Demers
- Lisa Marie Desjarlais
- Chasity Dixon
- John Mark Andrew Gingerich
- Tanya Jeanne Halone
- Haddi Hamley
- Lisa Hoffman
- Hayden M Jeanotte
All providers in Rolla, ND · Family Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.