JASON JOHN FRY CRNA, DNP
NPI 1023703923
Nurse Anesthetist, Certified Registered in Loma Linda, CA

Active since April 06, 2023Accepts Medicare Assignment
11234 ANDERSON ST STE A504, LOMA LINDA, CA 92350(909) 558-7811 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 21, 2025, Apr 6, 2023 (2 updates tracked since 2023).

About Jason John Fry Crna, Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON JOHN FRY CRNA, DNP (NPI 1023703923) is an individual nurse anesthetist, certified registered in Loma Linda, California, licensed in California (95002584) and active in the NPI registry since April 2023. He maintains a secondary practice location in Redlands and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023703923
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJASON JOHN FRYCredential: CRNA, DNP
Location Address11234 ANDERSON ST STE A504Loma Linda, CA 92350-1716
Mailing Address682 E Palm AveRedlands, CA 92374-6279 · (801) 529-2326 · Fax (801) 529-2326
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 6, 2023
Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1023703923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95002584
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
11234 ANDERSON ST STE A504, Loma Linda, CA 92350

Secondary Practice Location 1

Location 1682 E Palm AveRedlands, CA 92374-6279 · Phone (801) 529-2326

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason John Fry Crna, Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587181565
PECOS Enrollment IDI20250505001176

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
11234 ANDERSON ST STE A504
LOMA LINDA, CA 92350
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST STE A504
LOMA LINDA, CA 92350
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST STE A504
LOMA LINDA, CA 92350
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST STE A504
LOMA LINDA, CA 92350
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST STE A504
LOMA LINDA, CA 92350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Fry's NPI number?

The NPI number for Jason Fry is 1023703923. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Jason Fry located?

Jason Fry practices at 11234 Anderson St Ste A504, Loma Linda, CA 92350. The listed phone number is (909) 558-7811.

What is Jason Fry's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jason Fry enrolled in Medicare?

Yes. Jason Fry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jason Fry was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.