MR. KYLE ALEXANDER FISHER RN
NPI 1740064690
Registered Nurse - Emergency in Jeffersonville, IN

Active since August 22, 2023PECOS EnrolledAccepts Medicare Assignment
1220 MISSOURI AVE, JEFFERSONVILLE, IN 47130(812) 283-2521 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Kyle Alexander Fisher Rn NPPES

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

MR. KYLE ALEXANDER FISHER RN (NPI 1740064690) is an individual emergency provider in Jeffersonville, Indiana, licensed in Indiana (28214415A) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1740064690
Entity TypeIndividualMale
Primary Taxonomy163WE0003X
Provider Legal NameMR. KYLE ALEXANDER FISHERCredential: RN
Location Address1220 MISSOURI AVEJeffersonville, IN 47130-3743
Mailing Address1220 Missouri AveJeffersonville, IN 47130-3743 · (812) 283-2521
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
✔ NPI 1740064690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in IN · 28214415A
1220 MISSOURI AVE, Jeffersonville, IN 47130

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

Mr. Kyle Alexander Fisher Rn 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 ID3971043969
PECOS Enrollment IDI20240905000113
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 Kyle Fisher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
1220 MISSOURI AVE
Jeffersonville, IN 47130
  • Reassigned Medicare billing, Indiana enrollment
  • 28 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
91 services88 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
62 services61 patients

Hospital Affiliations CMS Care Compare

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150009
Location1220 Missouri AveJeffersonville, IN 47130 · Clark County
Emergency services Birthing friendly

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.

Emergency Medicine
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
Anesthesiology
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
Emergency Medicine
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
Social Worker (Clinical)
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
Physician Assistant
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
Physical Therapist
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
Physician Assistant
1220 MISSOURI AVE
JEFFERSONVILLE, IN 47130
Anesthesiology
1220 MISSOURI AVE, JEFFERSONVILLE
JEFFERSONVILLE, IN 47130

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 Kyle Fisher's NPI number?

The NPI number for Kyle Fisher is 1740064690. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Kyle Fisher located?

Kyle Fisher practices at 1220 Missouri Ave, Jeffersonville, IN 47130. The listed phone number is (812) 283-2521.

What is Kyle Fisher's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Emergency, with taxonomy code 163WE0003X.

Is Kyle Fisher enrolled in Medicare?

Yes. Kyle 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 Kyle Fisher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Fisher reassigns Medicare benefits to Emergency Medicine Physicians Associates PC (Jeffersonville, IN). 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 Kyle Fisher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kyle Fisher affiliated with any hospitals?

According to CMS data, Kyle Fisher is affiliated with Clark Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Fisher was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.