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

Lance R Fredrickson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1659522308

Lance R Fredrickson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Moses Lake, Washington. Graduated from Rush Medical College of Rush University in 2008, 18 years ago. Practices with Grant County Public Hospital District 1, a 94-clinician group and accepts Medicare assignment. Licensed in Texas and Washington.

Years since qualifying
18
Trained at
Rush Medical College of Rush University
Licensed in
TX, WA
In the registry since
2008
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

801 E Wheeler Rd
Moses Lake, WA 98837-1820
Phone: (509) 765-5606
Fax: (509) 764-3244
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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 AP61610317 (WA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence AP120956 (TX)

Record details

NPI number1659522308
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 30, 2008
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025
Mailing address660 S Coolidge St, Moses Lake, WA 98837-1872

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2008 (18 years in practice)
Group practice Grant County Public Hospital District 1 — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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