MR. NICHOLAS PAUL BLACK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1780822163
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK
Provider Addresses for MR. NICHOLAS PAUL BLACK (CRNA)
920 Stanton L Young Blvd # Wp1140
Oklahoma City, OK 731045036
Phone: (405) 271-4351
Fax: (405) 271-8695
Type: Location
Box, Sequoyah County, Oklahoma, United States
OKLAHOMA CITY, OK 731248875
Phone: (405) 470-2629
Type: Mailing
Yukon Bank, Health Center Parkway West, Yukon, Canadian County, Oklahoma, 73085, United States
YUKON, OK 730996381
Phone: (405) 717-6800
Fax: (405) 717-7964
Type: Location
PO BOX 26901
OKLAHOMA CITY, OK 731260901
Phone: (405) 271-4351
Fax: (405) 271-8695
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $945.
Total Amount is formed as General ($945) + Research ($0) + Ownership ($0) = $945.
Last reported payment date: 2024-03-16 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($945).
Total Amount
$945
General + Research + Ownership
Payments
4
Total payment records
General Amount
$945
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $945 |
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: 2012-01-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120112000184 | I | Certified Registered Nurse Anesthetist (Crna) | OK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00812 | Anesthesia for exam of colon using an endoscope | 29 | 29 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 13 | 12 | $0 |
Insurance plans in this area (ZIP 73104)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK |
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