BLAIR JOHN WALKER (RN, CRNA) – Certified Registered Nurse Anesthetist, NPI 1073996914

BLAIR JOHN WALKER (RN, CRNA) is a healthcare provider. based in Fort wayne, Indiana. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN, CRNA. They hold a License No. 107291 (FL). The NPI Number for BLAIR JOHN WALKER (RN, CRNA) is 1073996914

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
BLAIR JOHN WALKER (RN, CRNA)
NPI
1073996914
Phone
(260) 416-3000
Address
7950 W JEFFERSON BLVD
Enumeration Date
8 July 2015
Last Update Date
8 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3867608151
Graduation Year
2015 (11 years ago)
PAC ID
4789990540
Group Practice PAC ID
6406098235
Professional Enrollment ID
I20201223001318
Address ID
FL321292351PO3635XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

Provider Addresses for BLAIR JOHN WALKER (RN, CRNA)

  • 7950 W JEFFERSON BLVD

    FORT WAYNE, IN 468044140

    Phone: (260) 416-3000

    Type: Location

  • 5734 COVENTRY LN

    FORT WAYNE, IN 468047141

    Phone: (260) 436-7875

    Type: Mailing

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: 2020-12-23

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
I20201223001318ICertified Registered Nurse Anesthetist (Crna)FLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope5858$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope5151$0
00813Anesthesia for procedure on small and large bowel using an endoscope4747$0
00142Anesthesia for lens surgery3229$0
00812Anesthesia for exam of colon using an endoscope3030$0
View full utilization report →

Insurance plans in this area (ZIP 46804)

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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: 6406098235View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)WY
Anesthesiology, Pain ManagementFL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What is the registry number for BLAIR JOHN WALKER (RN, CRNA)?
The registry entry for BLAIR JOHN WALKER (RN, CRNA) shows NPI 1073996914.
Is BLAIR JOHN WALKER (RN, CRNA) currently accepting referrals based on NPI status?
Registry metadata lists BLAIR JOHN WALKER (RN, CRNA) as active.
What type of care does BLAIR JOHN WALKER (RN, CRNA) provide?
BLAIR JOHN WALKER (RN, CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is BLAIR JOHN WALKER (RN, CRNA) tied to Fort Wayne, Indiana?
If you are local to Fort Wayne, Indiana, BLAIR JOHN WALKER (RN, CRNA) may be relevant to your search.
Can I export BLAIR JOHN WALKER (RN, CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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