Active NPI
Anne E Fisher, ANP
- Adult Health Nurse Practitioner
- Mentor, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NP07428
- Practice address
- 5301 E Heisley Rd
Mentor, OH 44060 - Phone
- (440) 392-9550
- Fax
- (440) 392-9550
- NPI assigned
- Apr 13, 2006
- Last updated
- Feb 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NP07428 | OH | Primary |
Addresses
Primary practice location
5301 E Heisley Rd
Mentor, OH 44060
Mailing address
9485 Mentor Ave 210
Mentor, OH 44060-8723
Phone (440) 205-5883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2460411 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | anne.fisher@lhpg.eclinicaldirectplus.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9485 Mentor Ave
Suite 210
Mentor, OH 44060-8723
Phone (440) 205-5835
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP07428 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Hospital System, Inc | Current | Accepting new patients | |
| Lake Hospital System Inc | Current | Accepting new patients | |
| Lake Hospital System Inc | Current | Accepting new patients | |
| Lake Hospital System, Inc | Past | Accepting new patients | |
| Primary Nurse Practitioner Inc | Past | Accepting new patients | |
| University Neurologists Association,Inc | Past | Accepting new patients |
Locations
25701 N Lakeland Blvd
Ste 305
Euclid, OH 44132
Phone (216) 731-5212
9485 Mentor Ave
Ste 210
Mentor, OH 44060
Phone (440) 255-5571
10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656
Interoperability endpoints
- afisher28039@ehrdirect.uhhospitals.org
- anne.fisher@lhpg.eclinicaldirectplus.com
- rachel.askew@resihealth.eclinicaldirectplus.com
Organizations & group practices 6
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.
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dba Lake Health Urgent Care and Walk In Clinic
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- NPI 1689634966
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- Urgent Care Clinic/Center
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- NPI 1225224132
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1811951262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9485 MENTOR AVE 210",
"city": "MENTOR",
"state": "OH",
"postal_code": "440608723",
"telephone_number": "440-205-5883",
"fax_number": "440-205-5746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E HEISLEY RD",
"city": "MENTOR",
"state": "OH",
"postal_code": "44060",
"telephone_number": "440-392-9550",
"fax_number": "440-392-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "ANNE",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "NP07428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2460411",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "anne.fisher@lhpg.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Baseline West Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "9485 Mentor Avenue",
"address_2": "Suite 210",
"city": "Mentor",
"state": "OH",
"country_code": "US",
"postal_code": "44060",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.