Active NPI
Donald Glenn Fisher, CRNA
- Certified Registered Nurse Anesthetist
- Willmar, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 23414
- Practice address
- 301 Becker Ave SW
Rice Hospital
Willmar, MN 56201-3302 - Phone
- (320) 231-4130
- NPI assigned
- Sep 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 23414 | MN | Primary |
Addresses
Primary practice location
301 Becker Ave SW
Rice Hospital
Willmar, MN 56201-3302
Mailing address
301 Becker Ave SW
Rice Hospital
Willmar, MN 56201-3302
Phone (320) 231-4130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23414 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carris Health LLC | Current | Accepting new patients | |
| Affiliated Community Medical Centers, LTD | Current | Accepting new patients |
Locations
101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079
1604 1st St S
Ste 100
Willmar, MN 56201
Phone (320) 214-6908
301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Willmar, MN
- NPI 1952363699
-
- Multi-Specialty Clinic/Center
- Willmar, MN
- NPI 1598236408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306942610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 BECKER AVE SW",
"address_2": "RICE HOSPITAL",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562013302",
"telephone_number": "320-231-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 BECKER AVE SW",
"address_2": "RICE HOSPITAL",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562013302",
"telephone_number": "320-231-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "DONALD",
"middle_name": "GLENN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "23414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.