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

Individual provider Certified Registered Nurse Anesthetist · NPI 1053387225

Jon Fish, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Coon Rapids, Minnesota. Qualified in 2005, 21 years ago. Practices with Anesthesiology, PA, a 140-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
21
Licensed in
MN
In the registry since
2006
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

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone: (763) 236-6000
Fax: (763) 236-6789
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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 R105914-4 (MN)

Record details

NPI number1053387225
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESMay 15, 2008
Mailing address8990 Springbrook Dr Nw, Coon Rapids, MN 55433-5884

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Anesthesiology, P.A. — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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