Individual provider Active NPI

Laurie D Fisher, MD

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1831184902
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-26270 Issued in KS
Practice address
13725 Metcalf Ave # 403
Overland Park, KS 66223-7899
Phone
(913) 498-8787
Fax
(913) 498-1744
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 103975 MO
Family Medicine Physician 207Q00000X 04-26270 KS Primary

Addresses

Primary practice location

13725 Metcalf Ave # 403
Overland Park, KS 66223-7899

Mailing address

13725 Metcalf Ave # 403
Overland Park, KS 66223-7899
Phone (913) 498-8787

Other identifiers 2

IdentifierTypeStateIssuer
100192310CMedicaidKS
208278135MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20100621000146 KS Practitioner - HospitalistPractitioner - Family Practice 0749310613 Reassigns benefits to 2 organizations
I20240717001362 MO Practitioner - Hospitalist 0749310613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Sanford School of Medicine of University of South Dakota, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KC Hospitalists PAGroup PAC ID 2860635117, 46 clinicians

Practice addresses (Care Compare)

Overland Park, KS 66213
Phone (913) 498-8787

2100 SE Blue Pkwy
Lee'S Summit, MO 64063-1007
Phone (913) 498-8787

Hospital & facility affiliations

  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Merit-based Incentive Payment System (MIPS)

Final score
57.27 of 100Reported as group
Quality
44.91
Improvement activities
40
Cost
44.15

Merit-based Incentive Payment System (MIPS)

Final score
90.92 of 100Reported as individual
Quality
91.33
Promoting interoperability
99
Improvement activities
40
Cost
79.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-26270KSMDFamily Medicine Physician
MD 103975MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Jun 26, 2024 Accepting new patients
KC Hospitalists, P.a. CurrentSince Aug 1, 2024 Accepting new patients
Midwest Division - LSH, LLC Past Accepting new patients

Locations

605 E Melvin St
Arma, KS 66712
Phone (620) 347-4103

13725 Metcalf Ave
Overland Park, KS 66223
Phone (913) 308-6866

7400 W 132nd St
Ste 120
Overland Park, KS 66213

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

Organizations & group practices 3

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 3

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1831184902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 METCALF AVE # 403",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662237899",
            "telephone_number": "913-498-8787",
            "fax_number": "913-498-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 METCALF AVE # 403",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662237899",
            "telephone_number": "913-498-8787",
            "fax_number": "913-498-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "LAURIE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD 103975",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-26270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100192310C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208278135",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.