Active NPI
Theresa Marie Fisher, CRNP
- Gerontology Nurse Practitioner
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP030358
- Practice address
- 1701 Innovation Dr
York, PA 17408-8815 - Phone
- (717) 231-8936
- NPI assigned
- Aug 13, 2024
- Last updated
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP030358 | PA | |
| Gerontology Nurse Practitioner | 363LG0600X | SP030358 | PA | Primary |
Addresses
Primary practice location
1701 Innovation Dr
York, PA 17408-8815
Mailing address
613 Royal Terrace Dr
Harrisburg, PA 17112-8706
Phone (717) 773-1292
Other practice location 1
1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 231-8936
Other practice location 2
111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 231-8936
Other names 1
- Theresa M Modica
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 231-8772
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP030358 | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients |
Locations
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
1995 Technology Pkwy
Mechanicsburg, PA 17050
Phone (717) 791-2600
1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623
Interoperability endpoints
- tfisher287306@upmc.direct-ci.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
dba UPMC Blue Mountain Primary Care
- Family Medicine Physician
- Harrisburg, PA
- NPI 1063850774
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1386475028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 ROYAL TERRACE DR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171128706",
"telephone_number": "717-773-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 INNOVATION DR",
"city": "YORK",
"state": "PA",
"postal_code": "174088815",
"telephone_number": "717-231-8936"
}
],
"practiceLocations": [
{
"address_1": "1995 Technology Pkwy",
"address_purpose": "LOCATION",
"city": "Mechanicsburg",
"state": "PA",
"postal_code": "170508522",
"country_code": "US",
"telephone_number": "717-231-8936",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 S Front St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171012010",
"country_code": "US",
"telephone_number": "717-231-8936",
"fax_number": "717-231-8588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHER",
"first_name": "THERESA",
"middle_name": "MARIE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-13",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP030358",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP030358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "MODICA",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.