JON S. FANNIN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1376582551

JON S. FANNIN (CRNA) is a healthcare provider. based in Kerrville, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R43299 (NM). The NPI Number for JON S. FANNIN (CRNA) is 1376582551

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JON S. FANNIN (CRNA)
NPI
1376582551
Phone
(830) 896-1344
Address
420 WATER ST
Enumeration Date
5 June 2006
Last Update Date
23 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5756277000
Graduation Year
2005 (21 years ago)
PAC ID
1153343314
Group Practice PAC ID
3476807538
Professional Enrollment ID
I20060110000822
Address ID
NM882015151RO117XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for JON S. FANNIN (CRNA)

  • 420, Water Street, Kerrville, Kerr County, Texas, 78028, United States

    105-B

    KERRVILLE, TX 780285200

    Phone: (830) 896-1344

    Fax: (830) 896-1363

    Type: Mailing

  • 710, Water Street, Kerrville, Kerr County, Texas, 78028, United States

    KERRVILLE, TX 780285329

    Phone: (830) 896-1344

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20060110000822ICertified Registered Nurse Anesthetist (Crna)NMTBD
I20070131000451ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20210318001195ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20220822002251ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78028)

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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: 3476807538View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)NM
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)NM
Certified Registered Nurse Anesthetist (Crna)NM
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)NY
A N E S T H E S I O L O G YNM

Reviews

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Frequently asked questions

Where can patients find JON S. FANNIN (CRNA)'s NPI?
You can confirm JON S. FANNIN (CRNA) with NPI 1376582551; it appears in the national provider directory.
Is JON S. FANNIN (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize JON S. FANNIN (CRNA)'s specialty in plain language?
Clinically, the directory lists JON S. FANNIN (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does JON S. FANNIN (CRNA) practice in Texas?
You will see Kerrville, Texas on file for JON S. FANNIN (CRNA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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