MS. ELYSA MARIA DOHERTY-FISHER (APRN) – Adult Health Nurse Practitioner, NPI 1386621266

MS. ELYSA MARIA DOHERTY-FISHER (APRN) is a healthcare provider. based in East lyme, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 02377 (CT). The NPI Number for MS. ELYSA MARIA DOHERTY-FISHER (APRN) is 1386621266

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELYSA MARIA DOHERTY-FISHER (APRN)
NPI
1386621266
Phone
(860) 691-0873
Address
23 Church Ln
Enumeration Date
30 December 2005
Last Update Date
12 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
2034973867
Graduation Year
2000 (26 years ago)
PAC ID
1951347822
Group Practice PAC ID
6204248149
Professional Enrollment ID
I20050630000445
Address ID
CT064773691OR240XXRDXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for MS. ELYSA MARIA DOHERTY-FISHER (APRN)

  • 23 Church Ln

    East Lyme, CT 063331621

    Phone: (860) 691-0873

    Type: Location

  • Thomassian Drive, Marlborough, Hartford County, Connecticut, 06447, United States

    MARLBOROUGH, CT 064471398

    Phone: (860) 508-7789

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $154.

Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($154).

Total Amount

$154

General + Research + Ownership

Payments

2

Total payment records

General Amount

$154

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050630000445INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes379158$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes248117$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes6969$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes4747$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4744$0
View full utilization report →

Insurance plans in this area (ZIP 06333)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204248149View full group profile
NameSpecialtyState
Nurse PractitionerCT
P S Y C H I A T R YCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Nurse PractitionerCT
Clinical Social WorkerMA
Nurse PractitionerCT
Nurse PractitionerCT

Reviews

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Frequently asked questions

Is MS. ELYSA MARIA DOHERTY-FISHER (APRN) listed with a National Provider Identifier?
Yes — MS. ELYSA MARIA DOHERTY-FISHER (APRN) has NPI 1386621266 on file in the registry.
Would MS. ELYSA MARIA DOHERTY-FISHER (APRN) appear as active to a payer?
You can treat MS. ELYSA MARIA DOHERTY-FISHER (APRN) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MS. ELYSA MARIA DOHERTY-FISHER (APRN)'s focus?
For MS. ELYSA MARIA DOHERTY-FISHER (APRN), the primary taxonomy reads as Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Connecticut is MS. ELYSA MARIA DOHERTY-FISHER (APRN) registered?
Use East Lyme, Connecticut as the headline location for MS. ELYSA MARIA DOHERTY-FISHER (APRN) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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