PROF. JEFFREY A BLACKHURST (CRNA) – Certified Registered Nurse Anesthetist, NPI 1669444345

PROF. JEFFREY A BLACKHURST (CRNA) is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN284743L (PA). The NPI Number for PROF. JEFFREY A BLACKHURST (CRNA) is 1669444345

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
PROF. JEFFREY A BLACKHURST (CRNA)
NPI
1669444345
Phone
(412) 647-5909
Address
200 LOTHROP ST
Enumeration Date
6 February 2006
Last Update Date
4 March 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
6901869171
Group Practice PAC ID
8729990239
Professional Enrollment ID
I20041109000234
Address ID
PA152132536PI200XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

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Provider Addresses for PROF. JEFFREY A BLACKHURST (CRNA)

  • UPMC Presbyterian Hospital, 200, Lothrop Street, West Oakland, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States

    PITTSBURGH, PA 152132546

    Phone: (412) 647-5909

    Type: Location

  • 91 ROSS RD

    CANONSBURG, PA 153174849

    Phone: (724) 873-8131

    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: 2004-11-09

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
I20041109000234ICertified Registered Nurse Anesthetist (Crna)PATBD

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 15213)

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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: 8729990239View full group profile
NameSpecialtyState
Anesthesiology, Critical Care (Intensivists)PA
-PA
-PA
Cardiac Surgery, General SurgeryPA
Nurse PractitionerPA
-PA
-MD
-SC
-PA
-PA

Reviews

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Frequently asked questions

Can I verify PROF. JEFFREY A BLACKHURST (CRNA) with an NPI only?
You can start verification with NPI 1669444345 for PROF. JEFFREY A BLACKHURST (CRNA), then check state licensing separately.
Does CMS list PROF. JEFFREY A BLACKHURST (CRNA) as active?
Yes — PROF. JEFFREY A BLACKHURST (CRNA) is active in the NPI listing used on this page.
What is PROF. JEFFREY A BLACKHURST (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for PROF. JEFFREY A BLACKHURST (CRNA) here. Clinical services aligned with this taxonomy classification.
What address line appears for PROF. JEFFREY A BLACKHURST (CRNA)?
PROF. JEFFREY A BLACKHURST (CRNA)'s geographic hint is Pittsburgh, Pennsylvania in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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