KELLY C FISHER
NPI 1427293356
Speech-Language Pathologist in Cape Girardeau, MO
About Kelly C Fisher NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY C FISHER (NPI 1427293356) is an individual speech-language pathologist provider in Cape Girardeau, Missouri, licensed in Missouri (2004011771) and active in the NPI registry since December 2008. She is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
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
Kelly C Fisher 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Fisher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Charles, LA 70601
- Reassigned Medicare billing, Missouri enrollment
- 30 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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Fisher's NPI number?
The NPI number for Kelly Fisher is 1427293356. It was assigned to this individual provider in the NPPES registry on December 5, 2008.
Where is Kelly Fisher located?
Kelly Fisher practices at 301 N Clark St, Cape Girardeau, MO 63701. The listed phone number is (573) 335-1867.
What is Kelly Fisher's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Kelly Fisher enrolled in Medicare?
Yes. Kelly 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 Kelly Fisher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Fisher reassigns Medicare benefits to Synergy Care Southeast, LLC (Lake Charles, LA). 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 Kelly 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 Kelly Fisher was last updated on December 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Kelly C Fisher · NPI 1427293356
Speech-Language Pathologist provider in Cape Girardeau, Missouri. Individual provider, active in the CMS NPPES registry since December 5, 2008.
## Identity
- **NPI:** 1427293356 (Entity type: Individual)
- **Enumerated:** December 5, 2008
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 2004011771 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 N CLARK ST, Cape Girardeau, MO 63701-5105
- **Phone:** (573) 335-1867
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Synergy Care Southeast, LLC (NPI 1427466614, Lake Charles, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** December 5, 2008
---
Source: [NPI Profile](https://npiprofile.com/npi/1427293356) · Data from the CMS NPPES public registry.