VICKI FISHFADER – Internal Medicine Physician, NPI 1912002262

VICKI FISHFADER is a healthcare provider. based in Anacortes, Washington. specializing in Internal Medicine Physician. They hold a License No. PA10003946 (WA). The NPI Number for VICKI FISHFADER is 1912002262

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
VICKI FISHFADER
NPI
1912002262
Phone
(360) 293-4343
Address
912 32ND ST
Enumeration Date
13 September 2006
Last Update Date
25 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608994600
Graduation Year
1999 (27 years ago)
PAC ID
9537127154
Group Practice PAC ID
4789802760
Professional Enrollment ID
I20041229000784
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

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Provider Addresses for VICKI FISHFADER

  • 912, 32nd Street, Anacortes, Skagit County, Washington, 98221, United States

    SUITE A

    ANACORTES, WA 982213473

    Phone: (360) 293-4343

    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: 2004-12-29

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
I20041229000784IPhysician AssistantWATBD

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 98221)

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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: 4789802760View full group profile
NameSpecialtyState
-WA

Reviews

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Frequently asked questions

Can I use this page to confirm VICKI FISHFADER's NPI?
Yes. VICKI FISHFADER is listed with NPI 1912002262 in the public NPI dataset.
Is VICKI FISHFADER listed as active for patients and plans?
The listing shows VICKI FISHFADER as active in the NPI system.
What is VICKI FISHFADER best known for clinically?
Directory data describes VICKI FISHFADER with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does VICKI FISHFADER list a practice location?
Patients near Anacortes, Washington may find VICKI FISHFADER 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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