FISHER'S PLAYHOUSE
NPI 1174378541
Clinic/Center - Adolescent and Children Mental Health in Portales, NM
About Fisher's Playhouse NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FISHER'S PLAYHOUSE (NPI 1174378541) is a healthcare organization registered as an adolescent and children mental health in Portales, New Mexico and active in the NPI registry since April 2024. The organization lists Dempsey Fisher, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fisher's Playhouse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fisher's Playhouse, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fisher's Playhouse's NPI number?
The NPI number for Fisher's Playhouse is 1174378541. It was assigned to this organization in the NPPES registry on April 19, 2024.
Where is Fisher's Playhouse located?
Fisher's Playhouse is located at 2220 Boxwood Cir, Portales, NM 88130. The listed phone number is (850) 972-8193.
What is Fisher's Playhouse's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.
Is Fisher's Playhouse enrolled in Medicare?
Yes. Fisher's Playhouse is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fisher's Playhouse?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Fisher's Playhouse. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fisher's Playhouse was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Fisher's Playhouse · NPI 1174378541
Adolescent and Children Mental Health organization in Portales, New Mexico. Organization record, active in the CMS NPPES registry since April 19, 2024.
## Identity
- **NPI:** 1174378541 (Entity type: Organization)
- **Enumerated:** April 19, 2024
- **Primary specialty:** Clinic/Center - Adolescent and Children Mental Health · taxonomy 261QM0855X
- **Organization subpart:** No
- **Authorized official:** Dempsey Fisher, OWNER
## Practice location
- **Address:** 2220 BOXWOOD CIR, Portales, NM 88130-9356
- **Phone:** (850) 972-8193
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174378541) · Data from the CMS NPPES public registry.