MICHELLE LAUREN FISHER PA
NPI 1972166478
Physician Assistant in San Rafael, CA

Active since April 19, 2019PECOS EnrolledAccepts Medicare Assignment
50 ACACIA AVE, SAN RAFAEL, CA 94901(415) 517-4980 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 25, 2022, Jan 25, 2021, Apr 19, 2019 (3 updates tracked since 2019).

About Michelle Lauren Fisher Pa NPPES

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

MICHELLE LAUREN FISHER PA (NPI 1972166478) is an individual physician assistant in San Rafael, California and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972166478
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHELLE LAUREN FISHERCredential: PA
Location Address50 ACACIA AVESan Rafael, CA 94901-2230
Mailing Address563 Atherton AveNovato, CA 94945-2632 · (415) 517-4980
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 19, 2019
Last NPPES UpdateOctober 25, 20223 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
NPI 1972166478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
50 ACACIA AVE, San Rafael, CA 94901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michelle Lauren Fisher Pa 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 ID4688005465
PECOS Enrollment IDI20200511003248
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 94901 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physician Assistant
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Physician Assistant
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Physician Assistant
50 ACACIA AVE, MEADOWLANDS 302
SAN RAFAEL, CA 94901

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 Michelle Fisher's NPI number?

The NPI number for Michelle Fisher is 1972166478. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Where is Michelle Fisher located?

Michelle Fisher practices at 50 Acacia Ave, San Rafael, CA 94901. The listed phone number is (415) 517-4980.

What is Michelle Fisher's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michelle Fisher enrolled in Medicare?

Yes. Michelle 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.

When was this NPI record last updated?

The NPPES record for Michelle Fisher was last updated on October 25, 2022. 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.