Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blaine Fisk, CRNA

Individual provider Registered Nurse · NPI 1821758202

Blaine Fisk, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Alpharetta, Georgia. Qualified in 2021, 5 years ago. Practices with West Idaho Anesthesia, LLP, a 14-clinician group. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2655 Northwinds Pkwy
Alpharetta, GA 30009-2280
Phone: (770) 643-5619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP61257123 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN60701046 (WA)

Record details

NPI number1821758202
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedDecember 27, 2021
Last updated in NPPESApril 28, 2022
Certification dateApril 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice West Idaho Anesthesia, Llp — 14 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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