ASHLY NICOLE FISHER (DO) – Internal Medicine Physician, NPI 1255750907

ASHLY NICOLE FISHER (DO) is a healthcare provider. based in Ann arbor, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 2020028268 (MO). The NPI Number for ASHLY NICOLE FISHER (DO) is 1255750907

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
ASHLY NICOLE FISHER (DO)
NPI
1255750907
Phone
(734) 647-5299
Address
3621 S STATE ST
Enumeration Date
9 April 2014
Last Update Date
18 May 2023

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
6365490100
Graduation Year
2014 (12 years ago)
PAC ID
8628370806
Group Practice PAC ID
7214827922
Professional Enrollment ID
I20200916001589
Address ID
MO630253823EU20XXXPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for ASHLY NICOLE FISHER (DO)

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 1500 E MEDICAL CENTER DRIVE

    3RD FLOOR TAUMBAN CTR RECP 'B

    ANN ARBOR, MI 481095352

    Phone: (734) 936-5582

    Type: Location

  • PO BOX 776084

    CHICAGO, IL 606776084

    Phone: (636) 549-0121

    Type: Mailing

  • 20 THE LEGENDS PKWY STE 100

    EUREKA, MO 630253825

    Phone: (636) 549-0121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $235.

Total Amount is formed as General ($235) + Research ($0) + Ownership ($0) = $235.

Last reported payment date: 2024-11-10 • Largest payer in this snapshot: Sonex Health, Inc. ($235).

Total Amount

$235

General + Research + Ownership

Payments

1

Total payment records

General Amount

$235

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Sonex Health, Inc.$235
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: 2020-09-16

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
I20200916001589IInternal MedicineMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7652$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6767$0
99213Established patient office or other outpatient visit, 20-29 minutes4636$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use2929$0
G0009Administration of pneumococcal vaccine2929$0
View full utilization report →

Insurance plans in this area (ZIP 48108)

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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: 7214827922View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm ASHLY NICOLE FISHER (DO)'s NPI?
Yes. ASHLY NICOLE FISHER (DO) is listed with NPI 1255750907 in the public NPI dataset.
Is ASHLY NICOLE FISHER (DO) listed as active for patients and plans?
The listing shows ASHLY NICOLE FISHER (DO) as active in the NPI system.
What taxonomy line describes ASHLY NICOLE FISHER (DO)?
For research purposes, treat ASHLY NICOLE FISHER (DO) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does ASHLY NICOLE FISHER (DO) serve?
ASHLY NICOLE FISHER (DO)'s listing highlights Ann Arbor, Michigan; more addresses can appear in NPPES.
Is the information about ASHLY NICOLE FISHER (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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