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

Jeremy R Fuller, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1780975664

Jeremy R Fuller, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Spokane, Washington. Qualified in 2011, 15 years ago. Practices with Spokane Outpatient Anesthesia PLLC, a 22-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
15
Licensed in
ID, WA
In the registry since
2011
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

800 W 5th Ave
Spokane, WA 99204-2803
Phone: (509) 458-5800
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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 AP60308924 (WA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence N42071 (ID)

Record details

NPI number1780975664
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 26, 2011
Last updated in NPPESJanuary 31, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Spokane Outpatient Anesthesia Pllc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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