LISA FETZER
NPI 1760244362
Speech-Language Pathologist in Cape Coral, FL

Q: What is Lisa Fetzer's NPI number?

The NPI number for Lisa Fetzer is 1760244362. It was assigned to this individual provider in the NPPES registry on January 29, 2024.

Q: What is Lisa Fetzer's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Fetzer was last updated on January 29, 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.

Active since January 29, 2024Accepts Medicare Assignment

2219 CHIQUITA BLVD S, CAPE CORAL, FL 33991(239) 376-0417 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lisa Fetzer NPPES

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

LISA FETZER (NPI 1760244362) is an individual speech-language pathologist provider in Cape Coral, Florida, licensed in Florida (SA11223) and active in the NPI registry since January 2024. She is a graduate of Other (1993).

NPPES Registry Identity

NPI1760244362

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameLISA FETZER

Location Address2219 CHIQUITA BLVD SCape Coral, FL 33991-3291

Mailing Address3319 Nw 5th TerCape Coral, FL 33993-5663

Phone(239) 376-0417

Sole ProprietorYes

Medical School CMSOtherGraduated 1993

Enumeration DateJanuary 29, 2024

NPPES CertifiedJanuary 29, 2024

✔ NPI 1760244362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in FL · SA11223

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

2219 CHIQUITA BLVD S, Cape Coral, FL 33991

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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 and accepts Medicare assignment

Lisa Fetzer 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 ID8123462801

PECOS Enrollment IDI20240221002204

Medicare Billing Reassignment

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

Legacy Healthcare Services, Inc

107 mi

Physical Therapist

17470 BROOKSIDE TRACE CT
Tampa, FL 33647

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

NPI 1336535988 (813) 443-5042

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 2

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

JASMINE WINTERS

Physical Therapist

2219 CHIQUITA BLVD S
CAPE CORAL, FL 33991

Lee County (239) 908-4902

MRS. CECILIA MANGALI MUELLER PT

Physical Therapist

2219 CHIQUITA BLVD S
CAPE CORAL, FL 33991

Lee County (239) 376-0417

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 Lisa Fetzer's NPI number?

The NPI number for Lisa Fetzer is 1760244362. It was assigned to this individual provider in the NPPES registry on January 29, 2024.

Where is Lisa Fetzer located?

Lisa Fetzer practices at 2219 Chiquita Blvd S, Cape Coral, FL 33991. The listed phone number is (239) 376-0417.

What is Lisa Fetzer's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Lisa Fetzer enrolled in Medicare?

Yes. Lisa Fetzer 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 Lisa Fetzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Fetzer reassigns Medicare benefits to Legacy Healthcare Services, Inc (Tampa, FL). 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 Lisa Fetzer'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 Lisa Fetzer was last updated on January 29, 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.