Mrs Tina Renee Fisher, FNP-C - Medicare Nurse Practitioner in Fort Wayne, IN

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Mrs Tina Renee Fisher, FNP-C is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. Her current practice location is 11109 Parkview Plaza Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 515-3275.

Mrs Tina Renee Fisher is licensed to practice in Indiana (license number 71002159A) 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 1962595223.

Contact Information

Mrs Tina Renee Fisher, FNP-C
11109 Parkview Plaza Dr,
Fort Wayne, IN 46845-1701
(260) 515-3275
(888) 803-6853

Map and Direction




Provider's Profile

Full NameMrs Tina Renee Fisher
GenderFemale
SpecialityNurse Practitioner
Location11109 Parkview Plaza Dr, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962595223
  • Provider Enumeration Date: 10/01/2006
  • Last Update Date: 11/13/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4385747054
  • Enrollment ID: I20070319000051

Medical Identifiers

Medical identifiers for Mrs Tina Renee Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962595223NPI-NPPES
000000704579OtherINANTHEM
11813513OtherCAQH
200873280MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28113301A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71002159 (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71002159A (Indiana)Secondary
363L00000XNurse Practitioner 71002159A (Indiana)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. Mrs Tina Renee Fisher allows following entities to bill medicare on her behalf.
Entity NameParkview Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288
Entity NameRounding Providers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538486691
PECOS PAC ID: 5496947764
Enrollment ID: O20101227000644
Entity NamePsychiatric Management Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942677281
PECOS PAC ID: 7618285057
Enrollment ID: O20151005000131
Entity NameS4 Specialty Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336884725
PECOS PAC ID: 4385011089
Enrollment ID: O20221109003024

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. Mrs Tina Renee 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 AddressPractice Location Address
Mrs Tina Renee Fisher, FNP-C
3702 New Vision Dr Bldg B,
Fort Wayne, IN 46845-1703

Ph: () -		Mrs Tina Renee Fisher, FNP-C
11109 Parkview Plaza Dr,
Fort Wayne, IN 46845-1701

Ph: (260) 515-3275

Reviews and Comments


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Phone: 260-422-7455    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.