Shannon Fisher, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Colorado Springs, Colorado. Her current practice location is
1259 Lake Plaza Dr Ste 270, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 653-7776.
Shannon Fisher is licensed to practice in Colorado (license number APN.0998426-NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417654500.
Physician's Profile
Full Name | Shannon Fisher |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1259 Lake Plaza Dr Ste 270, Colorado Springs, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417654500
- Provider Enumeration Date: 02/09/2023
- Last Update Date: 01/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648636589
- Enrollment ID: I20230518000829
Medical Identifiers
Medical identifiers for Shannon Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417654500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | APN.0998426-NP (Colorado) | Secondary |
363LF0000X | Nurse Practitioner - Family | APN.0998426-NP (Colorado) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon Fisher allows following entities to bill medicare on her behalf.
Entity Name | Fountain Valley Health Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275272924 PECOS PAC ID: 6608252663 Enrollment ID: O20220929000653 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Fisher is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Fisher, NP 4505 Windmill Flats Ct, Peyton, CO 80831-7561 Ph: (720) 980-2995 | Shannon Fisher, NP 1259 Lake Plaza Dr Ste 270, Colorado Springs, CO 80906-3560 Ph: (719) 653-7776 |
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