BLAIR BEOUGHER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1043042013

BLAIR BEOUGHER (CRNA) is a healthcare provider. based in Loveland, Colorado. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APN.0999944-CRNA (CO). The NPI Number for BLAIR BEOUGHER (CRNA) is 1043042013

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
BLAIR BEOUGHER (CRNA)
NPI
1043042013
Phone
(970) 624-4034
Address
2695 ROCKY MOUNTAIN AVE STE 150
Enumeration Date
17 August 2024
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7202313233
Graduation Year
2024 (2 years ago)
PAC ID
6709374044
Group Practice PAC ID
7416272927
Professional Enrollment ID
I20251020002114
Address ID
CO802372702DE5060XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

801 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO

Provider Addresses for BLAIR BEOUGHER (CRNA)

  • 2695 ROCKY MOUNTAIN AVE STE 150

    LOVELAND, CO 805389071

    Phone: (970) 624-4034

    Fax: (970) 490-4173

    Type: Mailing

  • 1400 E BOULDER ST STE 1183

    COLORADO SPRINGS, CO 809095533

    Phone: (719) 365-6999

    Fax: (719) 365-2837

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251020002114ICertified Registered Nurse Anesthetist (Crna)COTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80538)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416272927View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
-MO
Certified Registered Nurse Anesthetist (Crna)CO
-CA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX
-MO
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)WA

Reviews

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Frequently asked questions

What federal number belongs to BLAIR BEOUGHER (CRNA)?
The federal identifier for BLAIR BEOUGHER (CRNA) is NPI 1043042013.
Is BLAIR BEOUGHER (CRNA)'s NPI currently valid?
The extract we use shows BLAIR BEOUGHER (CRNA) as active.
What does BLAIR BEOUGHER (CRNA) treat or focus on?
Patients typically see BLAIR BEOUGHER (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does BLAIR BEOUGHER (CRNA) practice in Colorado?
You will see Loveland, Colorado on file for BLAIR BEOUGHER (CRNA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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