KELSEY FISCHER – Family Nurse Practitioner, NPI 1114382603

KELSEY FISCHER is a healthcare provider. based in Olivia, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. R1791444 (MN). The NPI Number for KELSEY FISCHER is 1114382603

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY FISCHER
NPI
1114382603
Phone
(320) 523-1261
Address
100 HEALTHY WAY
Enumeration Date
28 December 2015
Last Update Date
28 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3205231460
Graduation Year
2015 (11 years ago)
PAC ID
6800191511
Group Practice PAC ID
5890126726
Professional Enrollment ID
I20160217002104
Address ID
MN562771117OL100XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for KELSEY FISCHER

  • 100 HEALTHY WAY

    OLIVIA, MN 562771117

    Phone: (320) 523-1261

    Fax: (320) 523-3430

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-02-17

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
I20160217002104INurse PractitionerMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56277)

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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: 5890126726View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMN
Internal MedicineMN
Medical Oncology, HematologyMN
Hospitalist, Internal MedicineMN
-MN
Internal Medicine, Pediatric MedicineMN
Hospitalist, Internal MedicineMN
Family PracticeMN
-WI
Hospitalist, Internal MedicineMN

Reviews

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Frequently asked questions

How is KELSEY FISCHER identified in CMS data?
CMS-hosted NPPES data lists KELSEY FISCHER with NPI 1114382603.
Is KELSEY FISCHER still practicing?
KELSEY FISCHER is currently listed as active in the public NPI registry.
What is KELSEY FISCHER's primary classification?
Family Nurse Practitioner is the headline specialty for KELSEY FISCHER here. Clinical services aligned with this taxonomy classification.
Does KELSEY FISCHER list a practice location?
Patients near Olivia, Minnesota may find KELSEY FISCHER in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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