AMANDA FISHER (APRN.CNP) – Nurse Practitioner, NPI 1629890421

AMANDA FISHER (APRN.CNP) is a healthcare provider. based in Canton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN.CNP. They hold a License No. APRN.CNP.0038003 (OH). The NPI Number for AMANDA FISHER (APRN.CNP) is 1629890421

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA FISHER (APRN.CNP)
NPI
1629890421
Phone
(330) 280-4628
Address
2112 32ND ST NW
Enumeration Date
31 October 2024
Last Update Date
31 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304386333
Graduation Year
2024 (2 years ago)
PAC ID
0840726691
Group Practice PAC ID
0143611897
Professional Enrollment ID
I20241204001282
Address ID
OH447101702CA2600XSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for AMANDA FISHER (APRN.CNP)

  • 2112 32ND ST NW

    CANTON, OH 447092712

    Phone: (330) 280-4628

    Type: Mailing

  • 2600 6TH ST SW

    CANTON, OH 447101702

    Phone: (330) 363-0000

    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: 2024-12-04

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
I20241204001282INurse PractitionerOHTBD

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 44709)

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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: 0143611897View full group profile
NameSpecialtyState
Internal MedicineOH
Internal Medicine, Hematology/OncologyOH
Internal Medicine, Hematology/OncologyOH
H E M A T O L O G Y/ O N C O L O G YOH
Certified Clinical Nurse Specialist (Cns)OH
H E M A T O L O G Y/ O N C O L O G YID
Hematology/Oncology, Internal MedicineOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do I look up AMANDA FISHER (APRN.CNP) by NPI?
Use NPI 1629890421 when you need to reference AMANDA FISHER (APRN.CNP) in forms, claims, or directories.
Is AMANDA FISHER (APRN.CNP) currently active in the NPI registry?
CMS-published data lists AMANDA FISHER (APRN.CNP) as an active registrant.
Can you summarize AMANDA FISHER (APRN.CNP)'s specialty in plain language?
Clinically, the directory lists AMANDA FISHER (APRN.CNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is AMANDA FISHER (APRN.CNP)'s primary listing?
We display Canton, Ohio because that is what the record indicates for AMANDA FISHER (APRN.CNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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