Individual provider Active NPI

Jeffrey A Fischer, PA C

  • Medical Physician Assistant
  • Cottage Grove, WI
National Provider Identifier
1467411504
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1522 Issued in WI
Practice address
500 Westlawn Dr
Cottage Grove, WI 53527
Phone
(608) 839-3104
Fax
(608) 839-3404
NPI assigned
Mar 18, 2006
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1522 WI Primary

Addresses

Primary practice location

500 Westlawn Dr
Cottage Grove, WI 53527

Mailing address

3178 Brantford LN
Sun Prairie, WI 53590-4213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20051026001113 WI Practitioner - Physician Assistant 8729005079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meriter Hospital IncGroup PAC ID 3971412735, 122 clinicians

Practice addresses (Care Compare)

100 Silverado Dr
Stoughton, WI 53589-5406
Phone (608) 417-8700

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6000

2690 Research Park Dr
Suite F
Fitchburg, WI 53711-4921
Phone (608) 417-8585

4200 Savannah Dr
De Forest, WI 53532-2909
Phone (608) 417-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.59 of 100Reported as group
Quality
84.57
Promoting interoperability
91
Improvement activities
40
Cost
81.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1522WIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meriter Hospital, Inc. CurrentSince Dec 7, 2020 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Agnesian Healthcare Inc Past Accepting new patients

Locations

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

Interoperability endpoints

  • Direct secure messaging: jfischer778764@direct.unitypoint.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1467411504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3178 BRANTFORD LN",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WESTLAWN DR",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "53527",
            "telephone_number": "608-839-3104",
            "fax_number": "608-839-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "1522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, WI

Sources for this page

Verify at the official NPI Registry.