NPIMap

Individual provider Active NPI

Michael Anthony Fisher, M.D.

  • Psychiatry Physician
  • Fountain Hills, AZ
National Provider Identifier
1679986137
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
53500 Issued in AZ
Practice address
16448 E Glenbrook Blvd
Fountain Hills, AZ 85268-2243
Phone
(516) 205-4489
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 53500 AZ Primary

Addresses

Primary practice location

16448 E Glenbrook Blvd
Fountain Hills, AZ 85268-2243

Mailing address

2601 E. Roosevelt St.
Maricopa Integrated Health System
Phoenix, AZ 85008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240829000894 WA Practitioner - Psychiatry 2466714290 Reassigns benefits to 1 organization
I20250122002836 MT Practitioner - Psychiatry 2466714290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Billings Clinic 814 clinicians

Practice addresses (Care Compare)

2950 10TH Ave N
Billings, MT 59101-0720
Phone (406) 238-2500

Hospital & facility affiliations

  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as apm
Quality
84.3
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53500AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Family Medicine CurrentSince Jan 17, 2025 Accepting new patients
Billings Clinic CurrentSince Jan 17, 2025 Accepting new patients
Providence Health & Services Washington CurrentSince Oct 1, 2024 Accepting new patients
Providence Health & Services Washington Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Fairview Health Services Past Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients

Locations

2950 10th Ave N
Billings, MT 59101
Phone (406) 657-3901

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

624 E Front Ave
Spokane, WA 99202
Phone (509) 626-9900

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1679986137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E. ROOSEVELT ST.",
            "address_2": "MARICOPA INTEGRATED HEALTH SYSTEM",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16448 E GLENBROOK BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852682243",
            "telephone_number": "516-205-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "53500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

Verify at the official NPI Registry.