JON FISH CRNA
NPI 1053387225
Nurse Anesthetist, Certified Registered in Coon Rapids, MN

Q: What is Jon Fish's NPI number?

The NPI number for Jon Fish is 1053387225. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is Jon Fish's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jon Fish was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment

4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 236-6000(763) 236-6789 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Jon Fish Crna NPPES

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

JON FISH CRNA (NPI 1053387225) is an individual nurse anesthetist, certified registered in Coon Rapids, Minnesota, licensed in Minnesota (R105914-4) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Maple Grove Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1053387225

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJON FISHCredential: CRNA

Location Address4050 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2522

Mailing Address8990 Springbrook Dr NwCoon Rapids, MN 55433-5884 · (763) 398-0099 · Fax (763) 398-0124

Phone(763) 236-6000

Fax(763) 236-6789

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateFebruary 27, 2006

Last NPPES UpdateMay 15, 2008

✔ NPI 1053387225 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 MN · R105914-4

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.

4050 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

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Other Identifiers 3

Medicaid441652000MN

Other451M8FIMN · Bcbsmn

Medicare PIN430005342MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jon Fish Crna 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 ID4284652884

PECOS Enrollment IDI20051102000694

Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jon Fish reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology, P.A.

12 mi

Anesthesiology

3300 OAKDALE AVE N
Robbinsdale, MN 55422

Reassigned Medicare billing, Minnesota enrollment
246 clinicians in this Medicare group

NPI 1013960798 (763) 520-5370

Metropolitan Anesthesia Network, LLP

13 mi

Anesthesiology

14700 28TH AVE N, SUITE 20
Plymouth, MN 55447

Reassigned Medicare billing, Minnesota enrollment
1,033 clinicians in this Medicare group

NPI 1558314427 (763) 559-3779

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maple Grove Hospital

Acute Care Hospitals · Maple Grove, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240214

Location9875 Hospital DriveMaple Grove, MN 55369 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 20

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

DR. HEATHER LYNNE BLUE PHARMD

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