MATTHEW FORTIER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104282805

MATTHEW FORTIER (CRNA) is a healthcare provider. based in Lexington, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 3010010 (KY). The NPI Number for MATTHEW FORTIER (CRNA) is 1104282805

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW FORTIER (CRNA)
NPI
1104282805
Phone
(859) 268-1030
Address
425 LEWIS HARGETT CIR
Enumeration Date
11 January 2016
Last Update Date
11 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592681030
Graduation Year
2015 (11 years ago)
PAC ID
7315243268
Group Practice PAC ID
9830268671
Professional Enrollment ID
I20160302002709
Address ID
KY402171318LO1XXXXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,376 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

Provider Addresses for MATTHEW FORTIER (CRNA)

  • 425 LEWIS HARGETT CIR

    LEXINGTON, KY 405033590

    Phone: (859) 268-1030

    Fax: (859) 269-4120

    Type: Mailing

  • 1 AUDUBON PLAZA DR

    LOUISVILLE, KY 402171318

    Phone: (502) 636-7160

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-01-23 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($67).

Total Amount

$122

General + Research + Ownership

Payments

4

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160302002709ICertified Registered Nurse Anesthetist (Crna)KYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00910Anesthesia for other procedure on urinary system through urethra1312$0
00560Anesthesia for procedure on heart and large blood vessels1111$0
View full utilization report →

Insurance plans in this area (ZIP 40503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830268671View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YKY

Reviews

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Frequently asked questions

Where can patients find MATTHEW FORTIER (CRNA)'s NPI?
You can confirm MATTHEW FORTIER (CRNA) with NPI 1104282805; it appears in the national provider directory.
Is MATTHEW FORTIER (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MATTHEW FORTIER (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for MATTHEW FORTIER (CRNA). Clinical services aligned with this taxonomy classification.
What location metadata exists for MATTHEW FORTIER (CRNA)?
The page summarizes Lexington, Kentucky for MATTHEW FORTIER (CRNA); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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