Individual provider Active NPI

Roxina Fischer, FNP-C

  • Nurse Practitioner
  • South Ogden, UT
National Provider Identifier
1932197084
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
215935-4405 Issued in UT
Practice address
6112 S 1550 E
South Ogden, UT 84405-5007
Phone
(801) 475-3800
Fax
(801) 475-3801
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 215935-4405 UT Primary

Addresses

Primary practice location

6112 S 1550 E
South Ogden, UT 84405-5007

Mailing address

PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20040105000580 UT Practitioner - Nurse Practitioner 8729987193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogden Clinic PCGroup PAC ID 9638078033, 104 clinicians

Practice addresses (Care Compare)

4650 Harrison Blvd
Ogden, UT 84403-4303
Phone (801) 475-3010

4700 Harrison Blvd
Ogden, UT 84403-4303
Phone (801) 475-3010

5495 S 500
Suite 310
Ogden, UT 84405-7409
Phone (801) 475-3100

6112 S 1550
Ogden, UT 84405-5007
Phone (801) 475-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
215935-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic Specialty Services LLC Current Accepting new patients
Ogden Clinic PC Family Medicine CurrentSince Jun 15, 2003 Accepting new patients

Locations

2595 N Highway 162
Eden, UT 84310
Phone (801) 668-2910

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

1159 12th St
Ogden, UT 84404
Phone (801) 475-3700

4350 Washington Blvd
Ogden, UT 84403
Phone (801) 476-5100

5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100

698 12th St
Ogden, UT 84404
Phone (801) 475-3700

1100 W 2700 N
Pleasant View, UT 84404
Phone (801) 475-3600

5430 S 1900 W
Ste G1
Roy, UT 84067
Phone (801) 779-3266

6112 S Harrison
South Ogden, UT 84405
Phone (801) 475-3800

1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1932197084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5546",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175546",
            "telephone_number": "801-475-3800",
            "fax_number": "801-475-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 S 1550 E",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844055007",
            "telephone_number": "801-475-3800",
            "fax_number": "801-475-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "ROXINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "215935-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

Verify at the official NPI Registry.