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

Kevin Patrick Fagan, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1124466495

Kevin Patrick Fagan, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Seattle, Washington. Graduated from Georgetown University School of Medicine in 2012, 14 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Washington.

Years since qualifying
14
Trained at
Georgetown University School of Medicine
Licensed in
DC, WA
In the registry since
2013
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

1100 9th Ave
Seattle, WA 98101-2756
Phone: (206) 223-6980
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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 AP61017573 (WA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN1020645 (DC)

Record details

NPI number1124466495
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 10, 2013
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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