MRS. TINA RENEE FISHER FNP-C
NPI 1962595223
Nurse Practitioner in Fort Wayne, IN

Q: What is Tina Fisher's NPI number?

The NPI number for Tina Fisher is 1962595223. It was assigned to this individual provider in the NPPES registry on October 1, 2006.

Q: What is Tina Fisher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Fisher was last updated on November 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 01, 2006PECOS Enrolled

11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 515-3275(888) 803-6853 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 13, 2017, Jan 4, 2017 (2 updates tracked since 2017).

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About Mrs. Tina Renee Fisher Fnp-c NPPES

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

MRS. TINA RENEE FISHER FNP-C (NPI 1962595223) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71002159A) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962595223

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. TINA RENEE FISHERCredential: FNP-C

Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701

Mailing Address3702 New Vision Dr Bldg BFort Wayne, IN 46845-1703

Phone(260) 515-3275

Fax(888) 803-6853

Sole ProprietorNo

Enumeration DateOctober 1, 2006

Last NPPES UpdateNovember 13, 20172 updates tracked since enumeration

✔ NPI 1962595223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71002159A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 28113301A (IN)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71002159 (IN), 71002159A (IN)

11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

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Other Identifiers 6

Other11813513Caqh

Medicare PINM400043594IN

Other000000704579IN · Anthem

Medicare PIN252560CIN

Medicare UPIN252560C

Medicaid200873280IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tina Renee Fisher Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.