DR. JOHN WOOD FISHBURNE IV PH.D.
NPI 1003957291
Psychologist in Spokane, WA
About Dr. John Wood Fishburne Iv Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN WOOD FISHBURNE IV PH.D. (NPI 1003957291) is an individual psychologist in Spokane, Washington, licensed in Washington (PY00003685) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Wood Fishburne Iv Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Fishburne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wenatchee, WA 98801
- Reassigned Medicare billing, Washington enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Fishburne's NPI number?
The NPI number for John Fishburne is 1003957291. It was assigned to this individual provider in the NPPES registry on February 9, 2007.
Where is John Fishburne located?
John Fishburne practices at 104 S Freya St Ste 214A, Spokane, WA 99202. The listed phone number is (509) 888-0048.
What is John Fishburne's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is John Fishburne enrolled in Medicare?
Yes. John Fishburne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Fishburne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Fishburne reassigns Medicare benefits to John W Fishburne Phd Ps (Wenatchee, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Fishburne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Fishburne was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.