NPIMap

Individual provider Active NPI

Anna M Fisher, M.D.

  • Family Medicine Physician
  • New Albany, IN
National Provider Identifier
1972591915
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01036882A Issued in IN
Practice address
2580 Charlestown Rd
Suite 2
New Albany, IN 47150
Phone
(812) 948-9500
Fax
(812) 948-9600
NPI assigned
Oct 13, 2005
Last updated
Dec 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01036882A IN Primary

Addresses

Primary practice location

2580 Charlestown Rd
Suite 2
New Albany, IN 47150

Mailing address

2580 Charlestown Rd
Suite 2
New Albany, IN 47150
Phone (812) 948-9500

Other identifiers 1

IdentifierTypeStateIssuer
100116610AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000705 IN Practitioner - Family Practice 9133141278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizons Physical Therapy Limited PartnershipGroup PAC ID 4183641608, 77 clinicians

Practice addresses (Care Compare)

2125 State St
Suite 2
New Albany, IN 47150-4972

2580 Charlestown Rd
Suite 2
New Albany, IN 47150-2555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.4 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01036882AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Family Medicine, LLC Family Medicine CurrentSince Oct 22, 2012 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1919 State St
Ste 250
New Albany, IN 47150
Phone (812) 948-9500

2580 Charlestown Rd
Ste 2
New Albany, IN 47150
Phone (812) 948-9500

Interoperability endpoints

  • Direct secure messaging: annafishermd@8929f3d1.micromddirect.com

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 11

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1972591915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 CHARLESTOWN RD",
            "address_2": "SUITE 2",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "47150",
            "telephone_number": "812-948-9500",
            "fax_number": "812-948-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 CHARLESTOWN RD",
            "address_2": "SUITE 2",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "47150",
            "telephone_number": "812-948-9500",
            "fax_number": "812-948-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01036882A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100116610A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.