BLAINE FISK CRNA
NPI 1821758202
Nurse Anesthetist, Certified Registered in Alpharetta, GA
About Blaine Fisk Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAINE FISK CRNA (NPI 1821758202) is an individual nurse anesthetist, certified registered in Alpharetta, Georgia, licensed in Washington (AP61257123) and active in the NPI registry since December 2021. He is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blaine Fisk Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Blaine Fisk reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boise, ID 83704
- Reassigned Medicare billing, Idaho enrollment
- 47 clinicians in this Medicare group
Meridian, ID 83642
- Reassigned Medicare billing, Idaho enrollment
- 10 clinicians in this Medicare group
Caldwell, ID 83605
- Reassigned Medicare billing, Idaho and Oregon enrollments
- 31 clinicians in this Medicare group
Caldwell, ID 83605
- Reassigned Medicare billing, Idaho enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
ALPHARETTA, GA 30009
ALPHARETTA, GA 30009
ALPHARETTA, GA 30009
ALPHARETTA, GA 30009
ALPHARETTA, GA 30009
ALPHARETTA, GA 30009
ALPHARETTA, GA 30009
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 Blaine Fisk's NPI number?
The NPI number for Blaine Fisk is 1821758202. It was assigned to this individual provider in the NPPES registry on December 27, 2021.
Where is Blaine Fisk located?
Blaine Fisk practices at 2655 Northwinds Pkwy, Alpharetta, GA 30009. The listed phone number is (770) 643-5619.
What is Blaine Fisk's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Blaine Fisk enrolled in Medicare?
Yes. Blaine Fisk is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Blaine Fisk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blaine Fisk reassigns Medicare benefits to 4 organizations: Anesthesiology Consultants Of Treasure Valley PLLC (Boise, ID), Idaho Anesthesia Partners LLC (Meridian, ID), West Idaho Anesthesia, LLP (Caldwell, ID) and Anesthesia Consulting Partners Idaho, PC (Caldwell, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blaine Fisk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blaine Fisk accept?
Health plans from Moda Health Plan, Inc. and Select Health list Blaine Fisk 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.
When was this NPI record last updated?
The NPPES record for Blaine Fisk was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Blaine Fisk, CRNA · NPI 1821758202
Nurse Anesthetist, Certified Registered physician in Alpharetta, Georgia. Individual provider, active in the CMS NPPES registry since December 27, 2021.
## Identity
- **NPI:** 1821758202 (Entity type: Individual)
- **Enumerated:** December 27, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP61257123 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2655 NORTHWINDS PKWY, Alpharetta, GA 30009-2280
- **Phone:** (770) 643-5619
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Anesthesiology Consultants Of Treasure Valley PLLC (NPI 1124066063, Boise, ID); Idaho Anesthesia Partners LLC (NPI 1174468011, Meridian, ID); West Idaho Anesthesia, LLP (NPI 1871918318, Caldwell, ID); Anesthesia Consulting Partners Idaho, PC (NPI 1568241362, Caldwell, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1821758202) · Data from the CMS NPPES public registry.