MATTHEW FISHER
NPI 1154050748
Student in an Organized Health Care Education/Training Program in Wynnewood, PA

Active since June 08, 2022PECOS Enrolled
100 E LANCASTER AVE, WYNNEWOOD, PA 19096(610) 645-6555 Get Directions Write a Review

NPPES record last updated: April 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2026, Jun 8, 2022 (2 updates tracked since 2022).

About Matthew Fisher NPPES

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

MATTHEW FISHER (NPI 1154050748) is an individual student in an organized health care education/training program in Wynnewood, Pennsylvania and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pasadena.

NPPES Registry Identity

NPI1154050748
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW FISHER
Location Address100 E LANCASTER AVEWynnewood, PA 19096-3450
Mailing Address100 E Lancaster AveWynnewood, PA 19096-3450 · (610) 645-6555
Sole ProprietorNo
Enumeration DateJune 8, 2022
Last NPPES UpdateApril 11, 20262 updates tracked since enumeration
NPPES CertifiedApril 11, 2026
NPI 1154050748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 E LANCASTER AVE, Wynnewood, PA 19096

Secondary Practice Location 1

Location 198 S Los Robles AvePasadena, CA 91101-2433 · Phone (888) 576-3348

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew Fisher is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION, SUITE 4303
WYNNEWOOD, PA 19096
Pharmacist
100 E LANCASTER AVE, SUITE #12
WYNNEWOOD, PA 19096
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION STE 4303
WYNNEWOOD, PA 19096
Nurse Anesthetist, Certified Registered
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Hospitalist
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096

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 Matthew Fisher's NPI number?

The NPI number for Matthew Fisher is 1154050748. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Matthew Fisher located?

Matthew Fisher practices at 100 E Lancaster Ave, Wynnewood, PA 19096. The listed phone number is (610) 645-6555.

What is Matthew Fisher's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Fisher enrolled in Medicare?

Yes. Matthew Fisher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Fisher was last updated on April 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.