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ELLIE ELIZABETH FISCHER
NPI 1477353043
Student in an Organized Health Care Education/Training Program in Medina, MN

Active since March 13, 2025PECOS Enrolled
4735 FOXBERRY DR, MEDINA, MN 55340(612) 850-7045 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ellie Elizabeth Fischer NPPES

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

ELLIE ELIZABETH FISCHER (NPI 1477353043) is an individual student in an organized health care education/training program in Medina, Minnesota and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1477353043
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELLIE ELIZABETH FISCHER
Location Address4735 FOXBERRY DRMedina, MN 55340-4611
Mailing Address4735 Foxberry DrMedina, MN 55340-4611 · (612) 850-7045
Phone(612) 850-7045
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1477353043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4735 FOXBERRY DR, Medina, MN 55340
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellie Elizabeth Fischer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476060088
PECOS Enrollment IDI20250729001869
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.

Frequently Asked Questions

What is Ellie Fischer's NPI number?

The NPI number assigned to this healthcare provider is 1477353043, enumerated as an "individual" on March 13, 2025.

Where is the provider located?

The provider is located at 4735 FOXBERRY DR MEDINA, MN 55340 and the phone number is (612) 850-7045.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.