Adetokunbo S Fisher, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

LG-0000782 Issued in DE

Practice address

748 S New St
Suites C & D
Dover, DE 19904

Phone

(302) 734-3227

Fax

(302) 734-0391

NPI assigned

Apr 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adetokunbo Agoro Former name

Medicare fee-for-service enrollment

Enrolled in DE

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

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Christiana Care Health Services Inc

  • Neurology Physician
  • Newark, DE
  • NPI 1457593949

  DE, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Christiana Care Health Services, Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1770568107

  DE, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Bayhealth Medical Center, Inc.

  • Clinic/Center
  • Milford, DE
  • NPI 1265422828

  DE

  Medicare reassignment NPD
• Christiana Care Quality Partners

  • Urgent Care Clinic/Center
  • Newark, DE
  • NPI 1164061867

  DE

  Medicare reassignment NPD
• Christiana Care Health Services Inc

  • Family Medicine Physician
  • Rehoboth Beach, DE
  • NPI 1023732203
  Care Compare group
• Christiana Care Health Services Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, DE
  • NPI 1194073411
  Care Compare group
• Christiana Care Health Services Inc

  • Hospitalist Physician
  • Newark, DE
  • NPI 1245474329
  Care Compare group
• Christiana Care Health Services Inc

  • Pulmonary Disease Physician
  • Newark, DE
  • NPI 1255618070
  Care Compare group
• Christiana Care Health Services Inc

  • Gastroenterology Physician
  • Newark, DE
  • NPI 1487083069
  Care Compare group
• Christiana Care Health Services Inc

  • Vascular Surgery Physician
  • Newark, DE
  • NPI 1568738839
  Care Compare group
• Christiana Care Health Services Inc

  • Community/Retail Pharmacy
  • Wilmington, DE
  • NPI 1639219082
  Care Compare group
• Christiana Care Health Services Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Wilmington, DE
  • NPI 1659578425
  Care Compare group

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

• Christiana Care Health Services, Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1356728232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SPRING CREEK DR",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197349054",
            "telephone_number": "302-376-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 S NEW ST",
            "address_2": "SUITES C & D",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19904",
            "telephone_number": "302-734-3227",
            "fax_number": "302-734-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ADETOKUNBO",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356728232",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADETOKUNBO",
            "last_name": "AGORO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• First State Orthopaedics, PA
• First State Orthopaedics, PA
• First State Podiatry, L.L.C.
• Fischer Nutrition LLC
• Ashley Fischer
• Adrianne Fisher, FNP-BC
• Daniel L. Fisher, M.D.
• Michelle Rita Fisher, APRN
• Nicole A Fisher, PA
• Ralph Fitch

• All providers in Dover, DE
• Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.