DR. JAMES WAYNE FISHER PH.D., LP
NPI 1164029336
Psychologist in Edina, MN

Active since October 01, 2020PECOS Enrolled
83.53/100
CMS Quality Rating
7400 METRO BLVD STE 390, EDINA, MN 55439(612) 468-1620(953) 955-6213 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 18, 2023, Oct 17, 2022, Nov 2, 2021 and 2 more (5 updates tracked since 2020).

About Dr. James Wayne Fisher Ph.d., Lp NPPES

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

DR. JAMES WAYNE FISHER PH.D., LP (NPI 1164029336) is an individual psychologist in Edina, Minnesota, licensed in Minnesota (LP6631) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164029336
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JAMES WAYNE FISHERCredential: PH.D., LP
Location Address7400 METRO BLVD STE 390Edina, MN 55439-2358
Mailing Address7400 Metro Blvd Ste 390Edina, MN 55439-2358 · (612) 468-1620 · Fax (953) 955-6213
Fax(953) 955-6213
Sole ProprietorNo
Enumeration DateOctober 1, 2020
Last NPPES UpdateMay 28, 20245 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
✔ NPI 1164029336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MN · LP6631
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
7400 METRO BLVD STE 390, Edina, MN 55439

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Wayne Fisher Ph.d., Lp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show James Fisher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology
3955 PARKLAWN AVE STE 100
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 clinicians in this Medicare group
Home Health
825 S 8TH ST, SL10
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,247 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
7400 METRO BLVD STE 390
EDINA, MN 55439
Psychologist (Clinical)
7400 METRO BLVD STE 390
EDINA, MN 55439

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 James Fisher's NPI number?

The NPI number for James Fisher is 1164029336. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is James Fisher located?

James Fisher practices at 7400 Metro Blvd Ste 390, Edina, MN 55439. The listed phone number is (612) 468-1620.

What is James Fisher's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is James Fisher enrolled in Medicare?

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

Which organizations bill Medicare for James Fisher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fisher reassigns Medicare benefits to 2 organizations: Allina Health System (Edina, MN) and Hennepin Healthcare System, Inc (Minneapolis, MN). Each 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 James Fisher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Fisher accept?

Health plans from HealthPartners list James Fisher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Fisher was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.