BLAINE FISK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1821758202

BLAINE FISK (CRNA) is a healthcare provider. based in Richland, Washington. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN60701046 (WA). The NPI Number for BLAINE FISK (CRNA) is 1821758202

Main info

Male
Sole Proprietor
5 Years Of Experience
Name
BLAINE FISK (CRNA)
NPI
1821758202
Phone
(208) 741-0447
Address
1206 COMSTOCK ST
Enumeration Date
27 December 2021
Last Update Date
28 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2084538668
Graduation Year
2021 (5 years ago)
PAC ID
3870989874
Group Practice PAC ID
9133343031
Professional Enrollment ID
I20240119002269
Address ID
ID836056972CA3115XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for BLAINE FISK (CRNA)

  • 1206 COMSTOCK ST

    RICHLAND, WA 993524528

    Phone: (208) 741-0447

    Type: Mailing

  • 2655 NORTHWINDS PKWY

    ALPHARETTA, GA 300092280

    Phone: (770) 643-5619

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-04-13 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-13

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: 2025-07-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240119002269ICertified Registered Nurse Anesthetist (Crna)IDTBD
I20250704000435ICertified Registered Nurse Anesthetist (Crna)ORTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope2727$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2121$0
00813Anesthesia for procedure on small and large bowel using an endoscope1414$0
01214Anesthesia for total hip replacement1313$0
00790Anesthesia for other procedure on upper abdomen1212$0
View full utilization report →

Insurance plans in this area (ZIP 99352)

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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: 9133343031View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)ID

Reviews

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Frequently asked questions

Can I cross-check BLAINE FISK (CRNA) using NPI 1821758202?
NPI 1821758202 belongs to BLAINE FISK (CRNA); compare other details if you need extra assurance.
Is BLAINE FISK (CRNA) shown as active in public data?
Registry records indicate BLAINE FISK (CRNA) maintains an active NPI.
What expertise is attributed to BLAINE FISK (CRNA)?
BLAINE FISK (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is BLAINE FISK (CRNA) located near Richland?
BLAINE FISK (CRNA) currently maps to Richland, Washington in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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