Individual provider Active NPI

Rachelle Long Fischer, FNP

  • Family Nurse Practitioner
  • Rolla, ND
National Provider Identifier
1215414099
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R46513 Issued in ND
Practice address
213 2ND Ave NE
Rolla, ND 58367-7153
Phone
(701) 477-3161
NPI assigned
Jul 24, 2018
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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 R46513 ND Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181108000901 ND Practitioner - Nurse Practitioner 6507110624 Reassigns benefits to 2 organizations
I20250117003803 MD Practitioner - Nurse Practitioner 6507110624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

201 S Cleveland Ave
Hagerstown, MD 21740-5745
Phone (301) 745-3777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R46513NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presentation Medical Center CurrentSince Aug 13, 2018 Accepting new patients
Walnut Street Community Health Center, Inc. CurrentSince Dec 16, 2024 Accepting new patients
Walnut Street Community Health Center, Inc. CurrentSince Dec 16, 2024 Accepting new patients
Presentation Medical Center CurrentSince Aug 13, 2018 Accepting new patients
Presentation Medical Center Past Accepting new patients

Locations

201 S Cleveland Ave
Hagerstown, MD 21740
Phone (301) 745-3777

Interoperability endpoints

  • Direct secure messaging: rachaellefischer@pmc.securechart.com
  • Direct secure messaging: rachelle.fischer.1@30195.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1215414099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 5TH ST NE",
            "city": "ROLLA",
            "state": "ND",
            "postal_code": "583677320",
            "telephone_number": "703-477-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 2ND AVE NE",
            "city": "ROLLA",
            "state": "ND",
            "postal_code": "583677153",
            "telephone_number": "701-477-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "RACHELLE",
        "middle_name": "LONG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R46513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, ND

Sources for this page

Verify at the official NPI Registry.