Mr Kristopher A Black, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Pueblo, CO

Mr Kristopher A Black, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pueblo, Colorado. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Us Anesthesia Partners Of Colorado Inc, Wyoming Perioperative Anesthesia Consultants Llc, Campbell County Hospital District and his current practice location is 1008 Minnequa Ave, Or/anesthesiology, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 557-3824.

Mr Kristopher A Black is licensed to practice in Colorado (license number 121197) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124265590.

Contact Information

Mr Kristopher A Black, CRNA
1008 Minnequa Ave, Or/anesthesiology,
Pueblo, CO 81004-3733
(719) 557-3824
(719) 557-3834



Provider's Profile

Full NameMr Kristopher A Black
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location1008 Minnequa Ave, Pueblo, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kristopher A Black graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1124265590
  • Provider Enumeration Date: 01/07/2009
  • Last Update Date: 07/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6901962901
  • Enrollment ID: I20090226000455

Medical Identifiers

Medical identifiers for Mr Kristopher A Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124265590NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 47932 (Wyoming)Secondary
367500000XNurse Anesthetist, Certified Registered 121197 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cody Regional HealthCody, WYHospital
Campbell County HealthGillette, WYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Us Anesthesia Partners Of Colorado Inc6002072055570
Wyoming Perioperative Anesthesia Consultants Llc08404331328
Campbell County Hospital District2860392529110

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kristopher A Black allows following entities to bill medicare on his behalf.
Entity NameCatholic Health Initiatives Colorado
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356783351
PECOS PAC ID: 8022927342
Enrollment ID: O20031215000462

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Entity NameUs Anesthesia Partners Of Colorado Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922365782
PECOS PAC ID: 6002072055
Enrollment ID: O20120725000032

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kristopher A Black is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kristopher A Black, CRNA
Po Box 1155, Attn Aqreva,
Billings, MT 59103-1155

Ph: (719) 557-3824
Mr Kristopher A Black, CRNA
1008 Minnequa Ave, Or/anesthesiology,
Pueblo, CO 81004-3733

Ph: (719) 557-3824

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Nurse Anesthetist, Certified Registered Nurses in Pueblo, CO

Lara Kjurston Knowles, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 400 W 16th St, Pueblo, CO 81003
Phone: 719-584-4000    
Malena Calle, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 400 W 16th St, Pueblo, CO 81003
Phone: 719-584-7305    
Michael R. Herron, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004
Phone: 719-560-5717    
Elizabeth Dias Morphis,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 400 W 16th St, Pueblo, CO 81003
Phone: 719-584-4000    
Mr. James Guzan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 112 W D St, Suite 210a, Pueblo, CO 81003
Phone: 330-442-3547    
Timothy Floyd, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 400 W 16th St, Pueblo, CO 81003
Phone: 719-584-4000    

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