Individual provider Active NPI

Roxanne N Fish, CNP

  • Family Nurse Practitioner
  • Massillon, OH
National Provider Identifier
1467733519
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12537-NP Issued in OH
Practice address
323 Marion Ave NW
Massillon, OH 44646-3639
Phone
(330) 837-6114
Fax
(330) 837-6118
NPI assigned
Sep 2, 2011
Last updated
Sep 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12537-NP OH Primary

Addresses

Primary practice location

323 Marion Ave NW
Massillon, OH 44646-3639

Mailing address

323 Marion Ave NW
Massillon, OH 44646-3639
Phone (330) 837-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120410000632 OH Practitioner - Nurse Practitioner 0345401865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aultman Deuble Heart and Vascular Hospital, LLCGroup PAC ID 1850726126, 109 clinicians
Orrville Hospital FoundationGroup PAC ID 7911890546, 78 clinicians

Practice addresses (Care Compare)

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 454-8076

49 Maple St
Apple Creek, OH 44606
Phone (330) 698-2015

830 S Main St
Orrville, OH 44667-2291
Phone (330) 684-2015

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.19 of 100Reported as group
Quality
63.25
Promoting interoperability
98
Improvement activities
40
Cost
72.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12537-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Deuble Heart & Vascular Hospital, LLC CurrentSince Jan 6, 2020 Accepting new patients
Orrville Hospital Foundation CurrentSince Dec 1, 2020 Accepting new patients
Orrville Hospital Foundation CurrentSince Dec 1, 2020 Accepting new patients
Orrville Hospital Foundation Past Accepting new patients
Cardiovascular Consultants, Inc. Past Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 6th St SW
#A2
Canton, OH 44710
Phone (330) 363-1342

2600 6th St SW
Ste A2710
Canton, OH 44710
Phone (330) 429-5656

2600 6th St SW
Ste A2800
Canton, OH 44710

2037 Wales Ave NW
Ste 120
Massillon, OH 44646

830 S Main St
Ste 101
Orrville, OH 44667
Phone (330) 438-6333

830 S Main St
Ste 511
Orrville, OH 44667
Phone (330) 684-2015

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Interoperability endpoints

  • Direct secure messaging: roxanne.fish@direct.aultman.org

Organizations & group practices 5

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 4

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": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1467733519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MARION AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463639",
            "telephone_number": "330-837-6114",
            "fax_number": "330-837-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MARION AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463639",
            "telephone_number": "330-837-6114",
            "fax_number": "330-837-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "ROXANNE",
        "middle_name": "N",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "12537-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.