JENNIFER FISHE MD
NPI 1649564873
Pediatrics - Pediatric Emergency Medicine in Jacksonville, FL

Q: What is Jennifer Fishe's NPI number?

The NPI number for Jennifer Fishe is 1649564873. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Q: What is Jennifer Fishe's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Fishe was last updated on July 21, 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.

Active since June 06, 2011PECOS Enrolled

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-6340(904) 244-4508 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 10, 2017 (2 updates tracked since 2017).

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About Jennifer Fishe Md NPPES

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

JENNIFER FISHE MD (NPI 1649564873) is an individual pediatric emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME129045) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649564873

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameJENNIFER FISHECredential: MD

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing AddressPo Box 44008Jacksonville, FL 32231-4008 · (904) 244-3660 · Fax (904) 244-4508

Phone(904) 244-6340

Fax(904) 244-4508

Sole ProprietorNo

Enumeration DateJune 6, 2011

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1649564873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in FL · ME129045

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License MT199140 (PA)

655 W 8TH ST, Jacksonville, FL 32209

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Fishe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jennifer Fishe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians Inc

Same address

Diagnostic Radiology

655 W 8TH ST, UFJP RADIOLOGY
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
573 clinicians in this Medicare group

NPI 1326208695 (904) 244-3660

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 20

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

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology