Individual provider Active NPI

Madison Elizabeth Fisher, FNP-C

  • Family Nurse Practitioner
  • North Kansas City, MO
National Provider Identifier
1285492405
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024007172 Issued in MO
Practice address
2750 Clay Edwards Drive, Suite 600B
North Kansas City, MO 64116-3270
Phone
(816) 691-2563
Fax
(816) 842-1486
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 2024007172 MO Primary

Addresses

Primary practice location

2750 Clay Edwards Drive, Suite 600B
North Kansas City, MO 64116-3270

Mailing address

9411 N. Oak Trafficway LL1
Kansas City, MO 64155-2741
Phone (816) 691-1655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240531000871 MO Practitioner - Nurse Practitioner 4688016900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

2750 Clay Edwards Dr
North Kansas City, MO 64116-3258
Phone (816) 453-4000

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Multi-Specialty CurrentSince Jul 8, 2024 Accepting new patients
Meritas Health Corporation Multi-Specialty CurrentSince Jul 8, 2024 Accepting new patients
Meritas Health Corporation Multi-Specialty Current Accepting new patients
Meritas Health Corporation Multi-Specialty Past Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

9151 NE 81st Ter
Ste 220
Kansas City, MO 64158
Phone (816) 453-4000

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

2750 Clay Edwards Dr
Ste 600B
North Kansas City, MO 64116
Phone (816) 453-4000

2700 Clay Edwards Dr
Ste 400
North Kansas City, MO 64116
Phone (816) 421-4240

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1285492405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N. OAK TRAFFICWAY LL1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552741",
            "telephone_number": "816-691-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DRIVE, SUITE 600B",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163270",
            "telephone_number": "816-691-2563",
            "fax_number": "816-842-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MADISON",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024007172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.