Individual provider Active NPI

Ashley Elizabeth Fedan, CRNA, ANRP

  • Certified Registered Nurse Anesthetist
  • Seattle, WA
National Provider Identifier
1053622720
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60172251 Issued in WA
Practice address
215 1St Ave W Apt 711
Seattle, WA 98119-4257
Phone
(717) 487-4316
NPI assigned
Jun 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP60172251 WA Primary
Certified Registered Nurse Anesthetist 367500000X 084279 PA

Addresses

Primary practice location

215 1St Ave W Apt 711
Seattle, WA 98119-4257

Mailing address

18911 NE 168TH St
Woodinville, WA 98072-6125
Phone (717) 487-4316

Other practice location 1

2915 S Alder St
Tacoma, WA 98409-4803
Phone (253) 473-0275

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asc.pclitacoma.p1@direct.pcli.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000073 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880719392 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Cataract and Laser Institute Inc PCGroup PAC ID 7517864119, 75 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 600
Seattle, WA 98104-3501
Phone (206) 215-2020

2915 S Alder St
Tacoma, WA 98409-4803
Phone (253) 473-0275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
084279PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. CurrentSince Feb 3, 2023 Accepting new patients
Pacific Cataract and Laser Institute Inc PC Current Accepting new patients
Ashley Fedan LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2013 Accepting new patients
Rainier Anesthesia Associates PC CurrentSince Dec 19, 2020 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jun 1, 2017 Accepting new patients
Public Hospital District No 1 Skagit CurrentSince Jun 1, 2017 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Pacific Cataract and Laser Institute Inc PC CurrentSince Feb 3, 2023 Accepting new patients
Pacific Cataract and Laser Institute Inc PC Current Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. Current Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 27, 2020 Accepting new patients
Tahoma Anesthesiology Consultants PS Past Accepting new patients

Locations

2606 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 462-7664

4330 Mitchell Way
Bellingham, WA 98226
Phone (360) 736-6860

2517 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 748-8632

21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650

34709 9th Ave S
Ste B500
Federal Way, WA 98003
Phone (253) 838-8552

6695 W Rio Grande Ave
Kennewick, WA 99336
Phone (509) 736-0826

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

115 New View Ct NE
Olympia, WA 98506
Phone (360) 252-1642

104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099

11027 Meridian Ave N
Ste 100
Seattle, WA 98133
Phone (206) 365-4492

501 N 34th St
Ste 101
Seattle, WA 98103
Phone (206) 838-1777

1101 Madison St
Ste 600
Seattle, WA 98104
Phone (206) 215-2004

9598 Mickelberry Rd NW
Silverdale, WA 98383
Phone (360) 698-5062

16818 E Desmet Ct
Spokane Valley, WA 99216
Phone (360) 242-3008

1414 N Houk Rd
Ste 102
Spokane Valley, WA 99216
Phone (509) 624-2226

2915 S Alder St
Tacoma, WA 98409
Phone (253) 473-0275

2205 NE 129th St
Vancouver, WA 98686
Phone (360) 450-6644

3900 Kern Rd
Yakima, WA 98902
Phone (509) 966-1356

Interoperability endpoints

  • Direct secure messaging: ashley.fedan.p1@direct.pcli.nextgenshare.com
  • Direct secure messaging: asc.pclitacoma.p1@direct.pcli.nextgenshare.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1053622720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18911 NE 168TH ST",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726125",
            "telephone_number": "717-487-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 1ST AVE W APT 711",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194257",
            "telephone_number": "717-487-4316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2915 S Alder St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984094803",
            "country_code": "US",
            "telephone_number": "253-473-0275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDAN",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "credential": "CRNA, ANRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60172251",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "084279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asc.pclitacoma.p1@direct.pcli.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2915 S Alder St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984094803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.