Kelli C Fisher, FNP | |
701 N 1st St, Springfield, IL 62781-0001 | |
(217) 528-7541 | |
Not Available |
Full Name | Kelli C Fisher |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 701 N 1st St, Springfield, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619222577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209009495 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Springfield, IL | Hospital |
Taylorville Memorial Hospital | Taylorville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Springfield Clinic Llp | 0547166076 | 673 |
Entity Name | Springfield Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Mailing Address | Practice Location Address |
---|---|
Kelli C Fisher, FNP 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | Kelli C Fisher, FNP 701 N 1st St, Springfield, IL 62781-0001 Ph: (217) 528-7541 |
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