Individual provider Active NPI

Nissa Fisher, RN, MSN, FNP-C, CCRN

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1922494038
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-76731-101 Issued in KS
Practice address
6650 W 110TH St Ste 210
Overland Park, KS 66211-1501
Phone
(913) 558-0058
Fax
(913) 871-6412
NPI assigned
Apr 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 14-106534-101 KS
General Practice Registered Nurse 163WG0000X 2006030418 MO
Family Nurse Practitioner 363LF0000X 2015004538 MO
Nurse Practitioner 363L00000X 53-76731-101 KS Primary

Addresses

Primary practice location

6650 W 110TH St Ste 210
Overland Park, KS 66211-1501

Mailing address

6650 W 110TH St Ste 210
Overland Park, KS 66211-1501
Phone (913) 303-0235

Other practice location 1

8550 Marshall Dr Ste 100
Lenexa, KS 66214-9836
Phone (913) 894-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150702001439 MO Practitioner - Nurse Practitioner 1850603994 Reassigns benefits to 1 organization
I20160331002636 KS Practitioner - Nurse Practitioner 1850603994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049
  • Miami County Medical Center Hospital, Paola, KS, CCN 170109

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
14-106534-101KSMDGeneral Practice Registered Nurse
2006030418MOMDGeneral Practice Registered Nurse
53-76731-101KSMDNurse Practitioner
2015004538MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Prime Healthcare Kansas City - Physician Services LLC CurrentSince May 27, 2015 Accepting new patients
Kansas University Physicians Inc CurrentSince May 25, 2023 Accepting new patients
Kansas University Physicians Inc CurrentSince May 25, 2023 Accepting new patients
Saint Luke'S Neighborhood Clinics, LLC Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

Interoperability endpoints

  • Direct secure messaging: nfisher105429@stormontvaildirect.org

Organizations & group practices 5

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 4

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": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1922494038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W 110TH ST STE 210",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111501",
            "telephone_number": "913-303-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W 110TH ST STE 210",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111501",
            "telephone_number": "913-558-0058",
            "fax_number": "913-871-6412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8550 Marshall Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662149836",
            "country_code": "US",
            "telephone_number": "913-894-1500",
            "fax_number": "913-894-1502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "NISSA",
        "credential": "RN, MSN, FNP-C, CCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KS",
            "license": "14-106534-101",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MO",
            "license": "2006030418",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015004538",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-76731-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.