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MR. SHAWN ALLEN FISCHER PMHNP-BC
NPI 1316401706
Nurse Practitioner - Psychiatric/Mental Health in Appleton, WI

Active since January 30, 2019PECOS EnrolledAccepts Medicare Assignment
77.77/100
CMS Quality Rating
1531 S MADISON ST STE 580, APPLETON, WI 54915(920) 738-2000 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2019, Jan 30, 2019 (2 updates tracked since 2019).

About Mr. Shawn Allen Fischer Pmhnp-bc NPPES

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

MR. SHAWN ALLEN FISCHER PMHNP-BC (NPI 1316401706) is an individual psychiatric/mental health provider in Appleton, Wisconsin, licensed in Wisconsin (9018-33) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316401706
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. SHAWN ALLEN FISCHERCredential: PMHNP-BC
Location Address1531 S MADISON ST STE 580Appleton, WI 54915-1800
Mailing Address1531 S Madison St Ste 580Appleton, WI 54915-1800 · (920) 738-2000
Phone(920) 738-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 30, 2019
Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1316401706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 9018-33
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9081 (WI)
1531 S MADISON ST STE 580, Appleton, WI 54915
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Other Identifiers 2

Medicaid100088432WI
Medicaid100088873WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Network 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 and accepts Medicare assignment

Mr. Shawn Allen Fischer Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062748130
PECOS Enrollment IDI20190726001452
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.
214 services43 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
113 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services23 patients

Hospital Affiliations CMS Care Compare

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

77.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.47
Promoting Interoperability77
Improvement Activities40
Cost63.8

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.

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Clinic/Center (Multi-Specialty)
1531 S MADISON ST STE 580
APPLETON, WI 54915
Calumet County (920) 738-2000
OLIVIA FISHER
Counselor (Professional)
1531 S MADISON ST STE 580
APPLETON, WI 54915
Calumet County (920) 730-5306

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 Shawn Fischer's NPI number?

The NPI number for Shawn Fischer is 1316401706. It was assigned to this individual provider in the NPPES registry on January 30, 2019.

Where is Shawn Fischer located?

Shawn Fischer practices at 1531 S Madison St Ste 580, Appleton, WI 54915. The listed phone number is (920) 738-2000.

What is Shawn Fischer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shawn Fischer enrolled in Medicare?

Yes. Shawn Fischer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shawn Fischer accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Network Health list Shawn Fischer 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 Shawn Fischer affiliated with any hospitals?

According to CMS data, Shawn Fischer is affiliated with Ascension NE Wisconsin - St Elizabeth Campus.

When was this NPI record last updated?

The NPPES record for Shawn Fischer was last updated on March 31, 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.