Individual provider Active NPI

Jennifer Mary Fisher, RN, MSN, CRNA

  • Certified Registered Nurse Anesthetist
  • Federal Way, WA
National Provider Identifier
1962815357
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP61059847 Issued in WA
Practice address
34719 6TH Ave S
Federal Way, WA 98003-8714
Phone
(210) 740-4251
NPI assigned
Jun 4, 2014
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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 AP61059847 WA Primary
Registered Nurse 163W00000X RN61059838 WA

Addresses

Primary practice location

34719 6TH Ave S
Federal Way, WA 98003-8714

Mailing address

13609 111TH Street CT E
Puyallup, WA 98374-8900
Phone (210) 740-4251

Other names 1

  • Miss Jennifer Mary Mackin Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201016000750 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072739390 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Pittsburgh School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians
Evergreen Eye Anesthesia PLLCGroup PAC ID 7315317112, 14 clinicians

Practice addresses (Care Compare)

1703 S Meridian
Suite 305
Puyallup, WA 98371-7590
Phone (253) 841-3933

34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (800) 340-3595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN61059838WAMDRegistered Nurse
AP61059847WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Eye Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Washington Gastroenterology PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 8, 2021 Accepting new patients
Paceline Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2020 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Sep 8, 2021 Accepting new patients
Rainier Anesthesia Associates PC CurrentSince Nov 1, 2020 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

1301 4th Ave NW
Ste 301
Issaquah, WA 98027
Phone (425) 270-6363

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

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

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

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

11216 Sunrise Blvd E
Ste 3207
Puyallup, WA 98374
Phone (253) 272-8148

1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

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

1229 Madison St
Ste 1250
Seattle, WA 98104
Phone (206) 622-2020

3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508

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

Organizations & group practices 5

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": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1962815357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13609 111TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748900",
            "telephone_number": "210-740-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34719 6TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038714",
            "telephone_number": "210-740-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JENNIFER",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61059847",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61059838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MACKIN",
            "middle_name": "MARY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.