MEDICARE: SHAWNAE FISCHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A190268	IA

General Provider Information

NPI Number	:	1497687529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWNAE FISCHER

Provider Business Mailing Address
First Line	:	8967 PRIMO LN
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8465
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8967 PRIMO LN
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8465
Country	:	US
Telephone Number	:	563-590-2953
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ SHAWNAE FISCHER ” Practice Location

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