JEFFREY ROBERT FISHER (PA-C) – Medical Physician Assistant, NPI 1093742140

JEFFREY ROBERT FISHER (PA-C) is a healthcare provider. based in Mansfield, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50-000284 (OH). The NPI Number for JEFFREY ROBERT FISHER (PA-C) is 1093742140

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY ROBERT FISHER (PA-C)
NPI
1093742140
Phone
(419) 520-2495
Address
335 GLESSNER AVE
Enumeration Date
26 June 2006
Last Update Date
14 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6147598660
Graduation Year
1984 (42 years ago)
PAC ID
6608774492
Professional Enrollment ID
I20070523000498
Address ID
OH432135131CO6075XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for JEFFREY ROBERT FISHER (PA-C)

  • OhioHealth Mansfield Hospital, 335, Glessner Avenue, Mansfield, Richland County, Ohio, 44907, United States

    MANSFIELD, OH 449032269

    Phone: (419) 520-2495

    Type: Mailing

  • 6905, Hospital Drive, Dublin, Ohio, 43016, United States

    SUITE 130

    DUBLIN, OH 430169600

    Phone: (614) 923-0300

    Fax: (614) 923-0400

    Type: Location

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: 2007-05-23

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
I20070523000498IPhysician AssistantOHTBD

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 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 44903)

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Reviews

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Frequently asked questions

What is the registry number for JEFFREY ROBERT FISHER (PA-C)?
The registry entry for JEFFREY ROBERT FISHER (PA-C) shows NPI 1093742140.
Should I treat JEFFREY ROBERT FISHER (PA-C) as an active provider?
Patients and plans typically see JEFFREY ROBERT FISHER (PA-C) as active in the national extract.
How should patients interpret JEFFREY ROBERT FISHER (PA-C)'s specialty?
The extract shows Medical Physician Assistant for JEFFREY ROBERT FISHER (PA-C). Clinical services aligned with this taxonomy classification.
Which community is linked to JEFFREY ROBERT FISHER (PA-C)?
JEFFREY ROBERT FISHER (PA-C) shows a connection to Mansfield, Ohio in registry-derived data.
Who maintains JEFFREY ROBERT FISHER (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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