Individual provider Active NPI

Tamara L Fischer, NP

  • Family Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1891023529
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10966 Issued in AZ
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
787000012OtherMOMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220401001119 AZ Practitioner - Nurse Practitioner 3173654779 Reassigns benefits to 3 organizations

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
Integrity Pain and Anesthesia PLLCGroup PAC ID 8325356504, 16 clinicians

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

LicenseStateTypeSpecialty
A090940IAMDFamily Nurse Practitioner
2010001473MOMDFamily Nurse Practitioner
111725NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Pain and Anesthesia PLLC CurrentSince Mar 1, 2022 Accepting new patients
Kpa Medical LLC CurrentSince Mar 1, 2022 Accepting new patients
Effideen Ameerally MD PC CurrentSince Apr 1, 2025 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.

Hospital & facility affiliations 1

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": "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

Sources for this page

Verify at the official NPI Registry.