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DR. ELYSA B FISHER
NPI 1134250095
Specialist in Wilmette, IL

Active since March 09, 2007Opted out of Medicare · through Jul 18, 2028
3612 LAKE AVE, WILMETTE, IL 60091(847) 256-9400(847) 256-9412 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Elysa B Fisher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELYSA B FISHER (NPI 1134250095) is an individual specialist in Wilmette, Illinois and active in the NPI registry since March 2007. She has opted out of Medicare through July 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1134250095
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. ELYSA B FISHER
Location Address3612 LAKE AVEWilmette, IL 60091-1000
Mailing Address3612 Lake AveWilmette, IL 60091-1000 · (847) 256-9400 · Fax (847) 256-9412
Phone(847) 256-9400
Fax(847) 256-9412
Sole ProprietorYes
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1134250095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3612 LAKE AVE, Wilmette, IL 60091
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Other Identifiers 1

Medicare UPINE51726IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Elysa B Fisher has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 18, 2016 through July 18, 2028.

Opt-Out Effective DateJuly 18, 2016
Opt-Out In Effect ThroughJuly 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN SMITH M.D.F.A.C.S.
Plastic Surgery
3612 LAKE AVE, SUITE 2A
WILMETTE, IL 60091
Cook County (847) 251-3700
DR. KATHERINE MARY BOHO PSY.D.
Psychologist
3612 LAKE AVE
WILMETTE, IL 60091
Cook County (773) 282-2322
NORTH SHORE PHYSICIANS GROUP, LLC
Specialist
3612 LAKE AVE, STE. 4
WILMETTE, IL 60091
Cook County (847) 521-3850
LISA VERDERBER
Ophthalmology
3612 LAKE AVE, 2C
WILMETTE, IL 60091
Cook County (847) 256-2020
PEDIATRIC EYE ASSOCIATES, PC
Ophthalmology
3612 LAKE AVE, SUITE 2C
WILMETTE, IL 60091
Cook County (847) 256-2020
MR. MARK LAWRENCE ZUKOWSKI MD
Plastic Surgery
3612 LAKE AVE
WILMETTE, IL 60091
Cook County (847) 853-8869
DEBORAH FISHMAN
Ophthalmology
3612 LAKE AVE, 2C
WILMETTE, IL 60091
Cook County (847) 256-2020

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 Elysa Fisher's NPI number?

The NPI number for Elysa Fisher is 1134250095. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Elysa Fisher located?

Elysa Fisher practices at 3612 Lake Ave, Wilmette, IL 60091. The listed phone number is (847) 256-9400.

What is Elysa Fisher's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Elysa Fisher enrolled in Medicare?

No. Elysa Fisher has opted out of Medicare through July 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Elysa Fisher was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.