SHANNON FISHER NP
NPI 1417654500
Nurse Practitioner - Family in Colorado Springs, CO

Active since February 09, 2023PECOS EnrolledAccepts Medicare Assignment
1259 LAKE PLAZA DR STE 270, COLORADO SPRINGS, CO 80906(719) 653-7776 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shannon Fisher Np NPPES

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

SHANNON FISHER NP (NPI 1417654500) is an individual family provider in Colorado Springs, Colorado, licensed in Colorado (APN.0998426-NP) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417654500
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON FISHERCredential: NP
Location Address1259 LAKE PLAZA DR STE 270Colorado Springs, CO 80906-3560
Mailing Address4505 Windmill Flats CtPeyton, CO 80831-7561 · (720) 980-2995
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 9, 2023
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1417654500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · APN.0998426-NP
Also ListedFamily MedicineTaxonomy 207Q00000X · License APN.0998426-NP (CO)
1259 LAKE PLAZA DR STE 270, Colorado Springs, CO 80906

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Fisher Np 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 ID648636589
PECOS Enrollment IDI20230518000829
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 Reassignment

Medicare enrollment records show Shannon Fisher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
5115 FONTAINE BLVD
Fountain, CO 80817
  • Reassigned Medicare billing, Colorado enrollment
  • 4 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.

Areas of Expertise CMS Part B claims 2

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.
51 services13 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.
18 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80906 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES

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

Dermatology (Procedural Dermatology)
1259 LAKE PLAZA DR STE 270
COLORADO SPRINGS, CO 80906

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 Shannon Fisher's NPI number?

The NPI number for Shannon Fisher is 1417654500. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Shannon Fisher located?

Shannon Fisher practices at 1259 Lake Plaza Dr Ste 270, Colorado Springs, CO 80906. The listed phone number is (719) 653-7776.

What is Shannon Fisher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Fisher enrolled in Medicare?

Yes. Shannon Fisher 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.

Which organization bills Medicare for Shannon Fisher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Fisher reassigns Medicare benefits to Fountain Valley Health Care LLC (Fountain, CO). The 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 Shannon Fisher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Fisher was last updated on January 12, 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.