KELLY FISHER – Acute Care Nurse Practitioner, NPI 1437574233

KELLY FISHER is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP013688 (PA). The NPI Number for KELLY FISHER is 1437574233

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KELLY FISHER
NPI
1437574233
Phone
(215) 662-9000
Address
51 N 39TH ST
Enumeration Date
3 March 2014
Last Update Date
13 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2155171000
Graduation Year
2013 (13 years ago)
PAC ID
7113148321
Group Practice PAC ID
7719872696
Professional Enrollment ID
I20160203002294
Address ID
PA190442242HO118XXRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for KELLY FISHER

  • 51 N 39TH ST

    PHI 2C

    PHILADELPHIA, PA 191042640

    Phone: (215) 662-9000

    Type: Mailing

  • 111 S 11TH ST

    PHILADELPHIA, PA 191074824

    Phone: (215) 955-6000

    Type: Location

  • 118 WELSH RD UNIT B

    HORSHAM, PA 190442242

    Phone: (215) 517-1000

    Fax: (215) 517-1049

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $167.

Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: UCB, Inc. ($125).

Total Amount

$167

General + Research + Ownership

Payments

3

Total payment records

General Amount

$167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-02-03

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
I20160203002294INurse PractitionerPATBD

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 19104)

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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: 7719872696View full group profile
NameSpecialtyState
Physician AssistantPA
-PA
Cardiovascular Disease (Cardiology)PA
Cardiovascular Disease (Cardiology)PA
-PA
-PA
Internal Medicine, Cardiovascular Disease (Cardiology)PA
Cardiovascular Disease (Cardiology), Interventional CardiologyPA
Nurse PractitionerPA
Cardiovascular Disease (Cardiology)PA

Reviews

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Frequently asked questions

Where can patients find KELLY FISHER's NPI?
You can confirm KELLY FISHER with NPI 1437574233; it appears in the national provider directory.
Is KELLY FISHER's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KELLY FISHER list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for KELLY FISHER. Clinical services aligned with this taxonomy classification.
What location metadata exists for KELLY FISHER?
The page summarizes Philadelphia, Pennsylvania for KELLY FISHER; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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