Kyle A Fischer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA194316 Issued in OR

Practice address

1821 S Stoughton Rd
Madison, WI 53716-2257

Phone

(608) 260-6000

Fax

(608) 260-6161

NPI assigned

Sep 6, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in WI, OR, WA3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyle.fischer.p1@direct.cdsdp.nextgenshare.com
• Direct secure messaging: kfischer1142623@oc.providencedirect.org

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.

• Legacy Clinics LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1902827272

  WA

  Medicare reassignment NPD
• Madison Emergency Physicians, SC

  • Emergency Medicine Physician
  • Madison, WI
  • NPI 1588646095
  Medicare reassignment
• Express Care Or PC

  • General Practice Physician
  • Portland, OR
  • NPI 1205499126
  Medicare reassignment
• Stoughton Hospital Association

  • Critical Access Hospital
  • Stoughton, WI
  • NPI 1679558647
  NPD (past)

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1407137334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22262 NE GLISAN ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308553",
            "telephone_number": "698-712-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 S STOUGHTON RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537162257",
            "telephone_number": "608-260-6000",
            "fax_number": "608-260-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Coburg Rd",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974014995",
            "country_code": "US",
            "telephone_number": "541-640-7625",
            "fax_number": "541-644-3477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50249 Cesar Chavez St Ste K",
            "address_purpose": "LOCATION",
            "city": "Coachella",
            "state": "CA",
            "postal_code": "922361530",
            "country_code": "US",
            "telephone_number": "760-344-9951 x10169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 S Stoughton Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537162257",
            "country_code": "US",
            "telephone_number": "608-260-6000",
            "fax_number": "608-260-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "KYLE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-06",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA194316",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66213",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2782023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfischer1142623@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "4816 NW Bethany Blvd",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972299254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfischer1142623@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "17979 NE Glisan St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972306507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfischer1142623@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "955 SE Baseline St",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971234207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfischer1142623@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "14600 SW Murray Scholls Dr",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970079712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alice Firmino
• Angela Fischer, PA
• Barbara Fischer, PSY.D.
• Chessa Fischer
• Kimberly Ann Breunig Fischer, PA-C, MPH
• Lesa J. Fischer, LCSW
• Louis C Fischer, M.D.
• Melissa M Fischer, DPT
• Michaela Jean Fischer, LPC-IT
• Rachel Fischer

• Physician Assistant in Madison, WI
• Providers in Madison, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.