KENNETH C FISHER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1447359427

KENNETH C FISHER (CRNA) is a healthcare provider. based in Lake elmo, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R1019663 (MN). The NPI Number for KENNETH C FISHER (CRNA) is 1447359427

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH C FISHER (CRNA)
NPI
1447359427
Phone
(651) 209-8071
Address
8681 EAGLE POINT BLVD
Enumeration Date
22 September 2006
Last Update Date
8 May 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9522043500
Graduation Year
1987 (39 years ago)
PAC ID
0446444509
Group Practice PAC ID
2466704887
Professional Enrollment ID
I20101102001180
Address ID
MN554392148ED7211XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for KENNETH C FISHER (CRNA)

  • Eagle Point Boulevard, Lake Elmo, Washington County, Minnesota, 55125, United States

    LAKE ELMO, MN 550428628

    Phone: (651) 209-8071

    Fax: (651) 209-8077

    Type: Mailing

  • 69, West Exchange Street, Saint Paul, Ramsey County, Minnesota, 55102, United States

    ST PAUL, MN 55102

    Phone: (651) 735-0501

    Fax: (651) 735-1870

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ABBVIE INC. ($39).

Total Amount

$139

General + Research + Ownership

Payments

7

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2010-11-02

PECOS data refreshed: 2026-05-27

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
I20101102001180ICertified Registered Nurse Anesthetist (Crna)MNTBD

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
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance5852$0
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance5849$0
01939Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance4831$0
00300Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back3535$0
01942Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance3533$0
View full utilization report →

Insurance plans in this area (ZIP 55042)

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Provider's Procedures

KENNETH C FISHER (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETMN01402Anesthesia for open or endoscopic total knee joint replacement1818

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: 2466704887View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN

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Frequently asked questions

What NPI should I save for KENNETH C FISHER (CRNA)?
Save NPI 1447359427 if you need a stable reference for KENNETH C FISHER (CRNA).
Is KENNETH C FISHER (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does KENNETH C FISHER (CRNA) treat or focus on?
Patients typically see KENNETH C FISHER (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for KENNETH C FISHER (CRNA)?
We surface Lake Elmo, Minnesota for KENNETH C FISHER (CRNA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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