Individual provider Active NPI

Rebecca A Fisher, MD

  • Family Medicine Physician
  • Liberty, MO
National Provider Identifier
1669469037
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2003020126 Issued in MO
Practice address
1133 W Kansas St
Liberty, MO 64068-2281
Phone
(816) 781-7400
Fax
(816) 781-3315
NPI assigned
Sep 30, 2005
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2003020126 MO Primary

Addresses

Primary practice location

1133 W Kansas St
Liberty, MO 64068-2281

Mailing address

1133 W Kansas St
Liberty, MO 64068-2281
Phone (816) 781-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050809000045 MO Practitioner - Family Practice 9830128057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clay Platte Family Medicine ClinicGroup PAC ID 3173424231, 24 clinicians

Practice addresses (Care Compare)

9151 NE 81St Ter
105 Barry Pointe Family Care
Kansas City, MO 64158-1176
Phone (816) 994-8787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
69.99
Promoting interoperability
99
Improvement activities
40
Cost
68.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clay Platte Family Medicine Clinic Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Clay Platte Family Medicine Clinic Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Kneibert Clinic LLC Family Medicine Past Accepting new patients
Wayne Medical Center, L.L.C. Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

5501 NW 62nd Ter
Ste 100
Kansas City, MO 64151
Phone (816) 842-4440

9151 NE 81st Ter
Ste 105
Kansas City, MO 64158
Phone (816) 781-4740

1133 W Kansas St
Liberty, MO 64068
Phone (816) 781-7400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/032e9fee-d494-4ca3-97ce-b40c8d2eecf6/

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 5

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1669469037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 W KANSAS ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682281",
            "telephone_number": "816-781-7400",
            "fax_number": "816-781-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 W KANSAS ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682281",
            "telephone_number": "816-781-7400",
            "fax_number": "816-781-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2003020126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.