Individual provider Active NPI

Onissa Sharan Mitchell-Fisher, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1255752432
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP124869 Issued in TX
Practice address
409 W Ferguson St
Tyler, TX 75702-5632
Phone
(903) 596-8353
NPI assigned
Dec 14, 2013
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP124869 TX Primary

Addresses

Primary practice location

409 W Ferguson St
Tyler, TX 75702-5632

Mailing address

409 W Ferguson St
Tyler, TX 75702-5632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140827001959 TX Practitioner - Nurse Practitioner 5991923336 Reassigns benefits to 1 organization
Practice locations: Tyler, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phynet, Inc.Group PAC ID 8527038298, 15 clinicians

Practice addresses (Care Compare)

1711 S Henderson Blvd
Suite 300
Kilgore, TX 75662-3563
Phone (903) 988-0605

Merit-based Incentive Payment System (MIPS)

Final score
96.21 of 100Reported as apm
Quality
92.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phynet, Inc. CurrentSince Oct 29, 2024 Accepting new patients
Phynet, Inc. Past Accepting new patients

Locations

307 W Upshur Ave
Gladewater, TX 75647
Phone (903) 845-2159

1711 S Henderson Blvd
Ste 300
Kilgore, TX 75662
Phone (903) 983-1578

4002 Technology Ctr
Longview, TX 75605
Phone (903) 247-0484

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, 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": "1386979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1255752432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W FERGUSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W FERGUSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025632",
            "telephone_number": "903-596-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL-FISHER",
        "first_name": "ONISSA",
        "middle_name": "SHARAN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-14",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP124869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.