Active NPI
Tamara L Fischer, NP
- Family Nurse Practitioner
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP10966
- Practice address
- 1000 Willow Creek Rd Ste D
Prescott, AZ 86301-1645 - Phone
- (480) 325-9600
- Fax
- (480) 493-5336
- NPI assigned
- Nov 18, 2009
- Last updated
- Mar 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 111725 | NE | |
| Family Nurse Practitioner | 363LF0000X | A090940 | IA | |
| Family Nurse Practitioner | 363LF0000X | 2010001473 | MO | |
| Family Nurse Practitioner | 363LF0000X | 111725 | NE | |
| Family Nurse Practitioner | 363LF0000X | AP10966 | AZ | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 111725 | NE |
Addresses
Primary practice location
1000 Willow Creek Rd Ste D
Prescott, AZ 86301-1645
Mailing address
7436 E Main St Ste 2
Mesa, AZ 85207-9338
Phone (480) 325-9600
Other practice location 1
14460 W Maple Rd
Omaha, NE 68116-5163
Phone (402) 493-0443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 787000012 | Other | MO | MEDICARE PTAN NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Willow Creek Rd
Suite D
Prescott, AZ 86301-1645
Phone (480) 325-9600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A090940 | IA | MD | Family Nurse Practitioner |
| 2010001473 | MO | MD | Family Nurse Practitioner |
| 111725 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Pain and Anesthesia PLLC | Current | Accepting new patients | |
| Kpa Medical LLC | Current | Accepting new patients | |
| Effideen Ameerally MD PC | Current | Accepting new patients |
Locations
7436 E Main St
Ste 1
Mesa, AZ 85207
Phone (405) 921-2503
7436 E Main St
Ste 2
Mesa, AZ 85207
Phone (480) 983-5111
1000 Willow Creek Rd
Ste D
Prescott, AZ 86301
Phone (928) 458-7343
1055 Ruth St
Ste 2A
Prescott, AZ 86301
10115 E Bell Rd
Ste 107
Scottsdale, AZ 85260
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Integrity Pain and Wellness
- Pain Medicine Physician
- Scottsdale, AZ
- NPI 1386049070
-
- Anesthesiology Physician
- Scottsdale, AZ
- NPI 1619374048
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1891023529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7436 E MAIN ST STE 2",
"city": "MESA",
"state": "AZ",
"postal_code": "852079338",
"telephone_number": "480-325-9600",
"fax_number": "480-493-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WILLOW CREEK RD STE D",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011645",
"telephone_number": "480-325-9600",
"fax_number": "480-493-5336"
}
],
"practiceLocations": [
{
"address_1": "14460 W Maple Rd",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681165163",
"country_code": "US",
"telephone_number": "402-493-0443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISCHER",
"first_name": "TAMARA",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NE",
"license": "111725",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A090940",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2010001473",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "111725",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP10966",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NE",
"license": "111725",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN NUMBER",
"identifier": "787000012",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
- Elizabeth Fidler
- Robert Wendell Fields III, LMSW
- Fikes Orthopedic Specialties, Inc.
- Kenneth Paul Finn, M.D.
- First Lab, LLC
- Marianne Fisher
- Melody Sue Fisher, L.M.
- Five Star Granite Gate, LLC (Granite Gate Senior Living)
- Five Star Rehabilitation and Wellness Services, LLC. (Ageility Physical Therapy Solutions at Granite Gate)
- Kaylan Rose Flanigan, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.