AUDREY ANN FISHER (PAC) – Physician Assistant, NPI 1043296684

AUDREY ANN FISHER (PAC) is a healthcare provider. based in Phila, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. MA00125L (PA). The NPI Number for AUDREY ANN FISHER (PAC) is 1043296684

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
AUDREY ANN FISHER (PAC)
NPI
1043296684
Phone
(215) 707-1840
Address
100 E LEHIGH AVE
Enumeration Date
15 December 2005
Last Update Date
4 May 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
7719952316
Group Practice PAC ID
0345588711
Professional Enrollment ID
I20040827000513
Address ID
PA191405103PH3401XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for AUDREY ANN FISHER (PAC)

  • 100 E LEHIGH AVE

    CHC-2

    PHILA, PA 191251012

    Phone: (215) 707-1840

    Fax: (215) 707-8570

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2023-04-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($130).

Total Amount

$130

General + Research + Ownership

Payments

1

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$130
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: 2004-08-27

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
I20040827000513IPhysician AssistantPATBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2727$0
View full utilization report →

Insurance plans in this area (ZIP 19125)

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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: 0345588711View full group profile
NameSpecialtyState
Internal MedicinePA
A N E S T H E S I O L O G YPA
Pulmonary Disease, Critical Care (Intensivists), HospitalistPA
O B S T E T R I C S/ G Y N E C O L O G YPA
-PA
Pulmonary Disease, Critical Care (Intensivists)PA
General SurgeryPA
-PA
P A T H O L O G YPA
-PA

Reviews

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Frequently asked questions

What federal number belongs to AUDREY ANN FISHER (PAC)?
The federal identifier for AUDREY ANN FISHER (PAC) is NPI 1043296684.
Does this profile mean AUDREY ANN FISHER (PAC) is currently active?
Yes — AUDREY ANN FISHER (PAC) appears active in the national provider directory.
What field does AUDREY ANN FISHER (PAC) work in?
You can think of AUDREY ANN FISHER (PAC) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is AUDREY ANN FISHER (PAC)'s primary listing?
We display Phila, Pennsylvania because that is what the record indicates for AUDREY ANN FISHER (PAC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.