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AMY FISHER PA-C
NPI 1164176772
Physician Assistant - Medical in Providence, UT

Active since February 11, 2022PECOS Enrolled
286 N GATEWAY DR STE 201, PROVIDENCE, UT 84332(435) 932-6125 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Fisher Pa-c NPPES

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

AMY FISHER PA-C (NPI 1164176772) is an individual medical provider in Providence, Utah and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Nell J Redfield Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164176772
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMY FISHERCredential: PA-C
Location Address286 N GATEWAY DR STE 201Providence, UT 84332-5603
Mailing Address779 W 4800 SPreston, ID 83263-5664 · (602) 361-6820
Phone(435) 932-6125
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 11, 2022
NPPES CertifiedNovember 18, 2021
✔ NPI 1164176772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
286 N GATEWAY DR STE 201, Providence, UT 84332
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Fisher Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123414174
PECOS Enrollment IDI20220927000412
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.

Areas of Expertise CMS Part B claims 3

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
290 services88 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
157 services86 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nell J Redfield Memorial Hospital

Critical Access Hospitals · Malad, ID
OwnershipGovernment - Local
CMS Certification Number131303
Location150 North 200 WestMalad, ID 83252 · Oneida County
Emergency services

Caribou Medical Center

Critical Access Hospitals · Soda Springs, ID
OwnershipGovernment - Local
CMS Certification Number131309
Location300 South 3rd WestSoda Springs, ID 83276 · Caribou County
Emergency services

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.

ADVANCED SPINE PAIN SPECIALISTS
Pain Medicine (Pain Medicine)
286 N GATEWAY DR STE 201
PROVIDENCE, UT 84332
Cache County (435) 932-6125
MELISSA LIVINGSTON FNP-C
Nurse Practitioner (Family)
286 N GATEWAY DR STE 201
PROVIDENCE, UT 84332
Cache County (435) 932-6125

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 Amy Fisher's NPI number?

The NPI number for Amy Fisher is 1164176772. It was assigned to this individual provider in the NPPES registry on February 11, 2022.

Where is Amy Fisher located?

Amy Fisher practices at 286 N Gateway Dr Ste 201, Providence, UT 84332. The listed phone number is (435) 932-6125.

What is Amy Fisher's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amy Fisher enrolled in Medicare?

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

What insurance does Amy Fisher accept?

Health plans from Providence Health Plan and Select Health list Amy 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.

Is Amy Fisher affiliated with any hospitals?

According to CMS data, Amy Fisher is affiliated with Nell J Redfield Memorial Hospital and Caribou Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Fisher was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.