Active NPI
Carissa Ann Fisher, CRNA
- Certified Registered Nurse Anesthetist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 108117
- Practice address
- 8303 Dodge Street
Omaha, NE 68114 - Phone
- (402) 354-4000
- NPI assigned
- Aug 9, 2010
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 60684 | NE | |
| Certified Registered Nurse Anesthetist | 367500000X | 108117 | NE | Primary |
Addresses
Primary practice location
8303 Dodge Street
Omaha, NE 68114
Mailing address
7822 Davenport Street
Omaha, NE 68114-3629
Phone (402) 391-4855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60684 | Other | NE | NE RN LICENSE |
Other names 1
- Carissa Ann Daly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8901 Indian Hills Dr
Suite 200
Omaha, NE 68114-4032
Phone (402) 397-7057
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60684 | NE | MD | Registered Nurse |
| 108117 | NE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Gastrointestinal Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Diagnostic & Int Med Assoc PC | Past | Accepting new patients | |
| Anesthesia West, P.C. | Past | Accepting new patients | |
| Anesthesia Services of Omaha LLC | Past | Accepting new patients |
Locations
17001 Lakeside Hills Plz
Ste 200
Omaha, NE 68130
Phone (402) 885-8700
7822 Davenport St
Omaha, NE 68114
Phone (402) 391-4855
8901 Indian Hills Dr
Ste 200
Omaha, NE 68114
Phone (402) 397-7057
7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880
16901 Lakeside Hills Ct
Omaha, NE 68130
Phone (402) 572-6500
8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Omaha, NE
- NPI 1073569125
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1508899568
-
- Pain Medicine (Anesthesiology) Physician
- Knoxville, TN
- NPI 1992127609
-
- Internal Medicine Physician
- Council Bluffs, IA
- NPI 1104870690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1629383245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7822 DAVENPORT STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143629",
"telephone_number": "402-391-4855",
"fax_number": "402-391-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 DODGE STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-354-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "CARISSA",
"middle_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "60684",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "108117",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NE RN LICENSE",
"identifier": "60684",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARISSA",
"last_name": "DALY",
"middle_name": "ANN",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.