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

Active since February 27, 2006Accepts 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: July 19, 2026.

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 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
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

Other Identifiers 3

Medicaid441652000MN
Other451M8FIMN · Bcbsmn
Medicare PIN430005342MN

Accepted Insurance

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

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

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.

Nurse Anesthetist, Certified Registered
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Nurse Practitioner (Neonatal)
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Nurse Practitioner (Neonatal)
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Internal Medicine
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Physical Therapist
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Dietitian, Registered
4050 COON RAPIDS BLVD NW, MERCY HOSPITAL -- NUTRITION SERVICES
COON RAPIDS, MN 55433
Physical Therapist
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Anesthesiology
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433

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 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.

Where is Jon Fish located?

Jon Fish practices at 4050 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 236-6000.

What is Jon Fish's specialty?

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

Is Jon Fish enrolled in Medicare?

Yes. Jon Fish 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.

What insurance does Jon Fish accept?

Health plans from Medica list Jon Fish as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jon Fish affiliated with any hospitals?

According to CMS data, Jon Fish is affiliated with Maple Grove Hospital.

When was this NPI record last updated?

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