Individual provider Active NPI

Caroline E Fisher, M.D.

  • Child & Adolescent Psychiatry Physician
  • Corvallis, OR
National Provider Identifier
1386612760
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD157745 Issued in OR
Practice address
2727 NW 9TH St
Corvallis, OR 97330-3857
Phone
(503) 269-3610
NPI assigned
Mar 10, 2006
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD157745 OR
Child & Adolescent Psychiatry Physician 2084P0804X MD157745 OR Primary

Addresses

Primary practice location

2727 NW 9TH St
Corvallis, OR 97330-3857

Mailing address

2727 NW 9TH St
Corvallis, OR 97330-3857
Phone (503) 269-3610

Other practice location 1

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-2185

Other practice location 2

770 E 11th Ave
Eugene, OR 97401-3746
Phone (458) 205-7000

Other identifiers 3

IdentifierTypeStateIssuer
MD60887411OtherWASTATE MEDICAL LICENSE
MD157745OtherOROMB LICENSE NUMBER
213699OtherMASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120727000714 OR Practitioner - Psychiatry 4486601341 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Boston University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asante Physician PartnersGroup PAC ID 8325206246, 227 clinicians

Practice addresses (Care Compare)

2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000

625 SW Ramsey Ave
Suite a
Grants Pass, OR 97527-5808
Phone (541) 507-2290

Merit-based Incentive Payment System (MIPS)

Final score
94.95 of 100Reported as group
Quality
92.04
Promoting interoperability
100
Improvement activities
40
Cost
85.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD157745ORMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital Current Accepting new patients
Germane & Wise Mental Health Services Consulting LLC Psychiatry CurrentSince Aug 5, 2019 Accepting new patients
Albany General Hospital CurrentSince Jun 1, 2016 Accepting new patients
Asante Physician Partners Psychiatry CurrentSince Nov 1, 2025 Accepting new patients
Albany General Hospital CurrentSince Jun 1, 2016 Accepting new patients
University of Massachusetts Past Accepting new patients
Firstcare Medical Foundation Psychiatry Past Accepting new patients
Umass Memorial Medical Group Inc Psychiatry Past Accepting new patients

Locations

321 1st Ave NE
Ste 3C
Albany, OR 97321
Phone (503) 269-3610

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

2727 NW 9th St
Corvallis, OR 97330
Phone (503) 269-3610

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

Interoperability endpoints

  • Direct secure messaging: caroline.fisher.1@14349.direct.athenahealth.com
  • Direct secure messaging: caroline.fisher.1@22904.direct.athenahealth.com
  • Direct secure messaging: cfisher86811@direct.lhs.org

Organizations & group practices 8

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1386612760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 NW 9TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303857",
            "telephone_number": "503-269-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 NW 9TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303857",
            "telephone_number": "503-269-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-222-2185",
            "fax_number": "541-222-2194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 E 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013746",
            "country_code": "US",
            "telephone_number": "458-205-7000",
            "fax_number": "458-205-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "CAROLINE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD157745",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "MD157745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD60887411",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMB LICENSE NUMBER",
            "identifier": "MD157745",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "213699",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.