Maryanne Fisher, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1073925 Issued in TX

Practice address

141 Industrial Ave
Azle, TX 76020-2901

Phone

(817) 270-3132

NPI assigned

May 5, 2022

Last updated

May 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concho County Hospital DistrictGroup PAC ID 3971505298, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/conc-1a231bb4
• Direct secure messaging: mfisher588715@direct.sw.org

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.

• Concho County Hospital District

  • Family Medicine Physician
  • Eden, TX
  • NPI 1134166226
  Medicare reassignment Care Compare group NPD
• Frontera Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Mason, TX
  • NPI 1235381088
  Medicare reassignment NPD
• Scott & White Hospital - Marble Falls

  • Internal Medicine Physician
  • Marble Falls, TX
  • NPI 1295397859
  Medicare reassignment NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment
• Concho County Hospital District

  • Rural Acute Care Hospital
  • Eden, TX
  • NPI 1326025701
  NPD
• Concho County Hospital District

  dba Concho Medical Clinic

  • Rural Health Clinic/Center
  • Eden, TX
  • NPI 1851885016
  NPD
• Frontera Healthcare Network

  dba Frontera Healthcare Network - Menard Medical

  • Federally Qualified Health Center (FQHC)
  • Menard, TX
  • NPI 1447594247
  NPD
• Frontera Healthcare Network

  dba Frontera Fredericksburg Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Fredericksburg, TX
  • NPI 1730976770
  NPD
• Scott & White Hospital - Marble Falls

  dba Baylor Scott & White Clinic - Horseshoe Bay

  • Rural Health Clinic/Center
  • Horseshoe Bay, TX
  • NPI 1821399767
  NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1053767897
  NPD
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1851037634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 INDUSTRIAL AVE",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202901",
            "telephone_number": "817-270-3132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 E Young St",
            "address_purpose": "LOCATION",
            "city": "Llano",
            "state": "TX",
            "postal_code": "786431344",
            "country_code": "US",
            "telephone_number": "325-248-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MARYANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1073925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfisher588715@direct.sw.org",
            "affiliation": "N",
            "address_1": "102 E Young St",
            "city": "Llano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786431344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Euverse Neuromonitoring LLC
• Eye of the Tiger Private Care
• Cheryl Faber, PTA
• Nicole Leann Farish, FNP-BC
• Brittany Nichole Finkbeiner
• Anna Font
• Forever Teeth P.L.L.C.
• Serena Freiberg, LPC, EMDR
• Paul S. Froude, DMD
• Kristin Fuller

• Family Nurse Practitioner in Azle, TX
• Providers in Azle, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.

Verify at the official NPI Registry.