Individual provider Active NPI

Anastasia Camille Fisher, DO

  • Emergency Medicine Physician
  • Shawnee, OK
National Provider Identifier
1780761833
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4406 Issued in OK
Practice address
1900 Gordon Cooper Drive
Shawnee, OK 74801
Phone
(405) 878-7160
Fax
(405) 878-7129
NPI assigned
Nov 1, 2006
Last updated
Jan 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4406 OK Primary

Addresses

Primary practice location

1900 Gordon Cooper Drive
Shawnee, OK 74801

Mailing address

1900 S Gordon Cooper Dr
Shawnee, OK 74801-8603
Phone (405) 878-7160

Other identifiers 1

IdentifierTypeStateIssuer
200094540AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070904000056 OK Practitioner - Emergency Medicine 9032202379 Reassigns benefits to 9 organizations
I20150102000920 TX Practitioner - Emergency Medicine 9032202379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Oklahoma College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Health SystemGroup PAC ID 1456255025, 105 clinicians
Oklahoma State UniversityGroup PAC ID 2769739358, 110 clinicians

Practice addresses (Care Compare)

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

1801 W 3Rd St
Elk City, OK 73644-5145
Phone (580) 225-2511

2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-5701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.91 of 100Reported as group
Quality
77.78
Promoting interoperability
99
Improvement activities
40
Cost
73.95

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4406OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Jul 8, 2014 Accepting new patients
Farmers Union Hospital Association CurrentSince Jan 25, 2021 Accepting new patients
Farmers Union Hospital Association Current Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
Northeastern Health System CurrentSince Jul 1, 2019 Accepting new patients
McAlester Regional Health Center Authority CurrentSince Apr 9, 2024 Accepting new patients
Oklahoma State University CurrentSince Apr 1, 2024 Accepting new patients
Northeastern Health System Emergency Medicine Current Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Dec 10, 2010 Accepting new patients
Northeastern Health System CurrentSince Jul 1, 2019 Accepting new patients
On-Site Care LLC CurrentSince Feb 27, 2026 Accepting new patients
Oklahoma State University CurrentSince Apr 1, 2024 Accepting new patients
Northeastern Health System Emergency Medicine Past Accepting new patients
Norstar Emergency Physicians Past Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Oklahoma State University Emergency Medicine Past Accepting new patients
Lightstar Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Oklahoma State University Medical Trust Past Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients

Locations

4801 SE 15th St
Del City, OK 73115
Phone (405) 500-3380

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

1801 W 3rd St
Elk City, OK 73644
Phone 40584358551407

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

2424 Springer Dr
Ste 304
Norman, OK 73069
Phone (405) 906-2191

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980

Dept 2563
Tulsa, OK 74182

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Interoperability endpoints

  • Direct secure messaging: afisher221420@direct.saintfrancis.com
  • Direct secure messaging: afisher325782@ahs.direct-ci.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 12

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1780761833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S GORDON COOPER DR",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748018603",
            "telephone_number": "405-878-7160",
            "fax_number": "405-878-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GORDON COOPER DRIVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "74801",
            "telephone_number": "405-878-7160",
            "fax_number": "405-878-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ANASTASIA",
        "middle_name": "CAMILLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "4406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200094540A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.