Individual provider Active NPI

Jennifer San Fisher, CRNA

  • Certified Registered Nurse Anesthetist
  • Tacoma, WA
National Provider Identifier
1699847947
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60271083 Issued in WA
Practice address
1814 Beacon CT NE
Tacoma, WA 98422-3469
Phone
(206) 679-3558
NPI assigned
Nov 14, 2006
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP60271083 VA
Certified Registered Nurse Anesthetist 367500000X AP60271083 WA Primary
Critical Care Medicine Registered Nurse 163WC0200X 0001167107 VA

Addresses

Primary practice location

1814 Beacon CT NE
Tacoma, WA 98422-3469

Mailing address

1814 Beacon CT NE
Tacoma, WA 98422-3469
Phone (206) 679-3558

Other practice location 1

209 Lilly Rd NE
Olympia, WA 98506-5030
Phone (360) 413-8250

Other identifiers 2

IdentifierTypeStateIssuer
RN60247840OtherWALICENSE
AP60271083OtherLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170404001534 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901182047 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paceline Anesthesia, PLLCGroup PAC ID 5799853099, 36 clinicians
Gastroenterology Associates Clinical Practice PLLCGroup PAC ID 2062770605, 17 clinicians

Practice addresses (Care Compare)

1900 Cooks Hill Rd
Centralia, WA 98531-9073
Phone (360) 330-1870

209 Lilly Rd NE
Olympia, WA 98506-5030
Phone (360) 413-8250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001167107VAMDCritical Care Medicine Registered Nurse
AP60271083VAMDCertified Registered Nurse Anesthetist
AP60271083WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Eye Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2024 Accepting new patients
Paceline Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Gastroenterology Associates Clinical Practice, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2026 Accepting new patients

Locations

1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335

1900 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 330-8627

12800 Bothell Everett Hwy
Ste 200
Everett, WA 98208
Phone (206) 259-3122

34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100

5801 Soundview Dr
Ste 156
Gig Harbor, WA 98335
Phone (253) 268-0720

2100 Little Mountain Ln
Mount Vernon, WA 98274
Phone (360) 416-6735

209 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8250

1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230

502 S M St
Tacoma, WA 98405
Phone (253) 301-4953

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1699847947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 BEACON CT NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984223469",
            "telephone_number": "206-679-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 BEACON CT NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984223469",
            "telephone_number": "206-679-3558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Lilly Rd NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065030",
            "country_code": "US",
            "telephone_number": "360-413-8250",
            "fax_number": "360-413-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JENNIFER",
        "middle_name": "SAN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "AP60271083",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60271083",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "VA",
            "license": "0001167107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN60247840",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP60271083",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.