MONTANA N BLACKLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1386095891
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN
Provider Addresses for MONTANA N BLACKLEY (CRNA)
110 29TH AVE N
SUITE 201
NASHVILLE, TN 372031401
Phone: (615) 327-7870
Fax: (615) 800-8610
Type: Mailing
155 Lilly Rd NE Ste B
Olympia, WA 985065028
Phone: (206) 538-6300
Fax: (206) 538-6301
Type: Location
7615 TRADITIONS AVE NE
LACEY, WA 985161335
Phone: (503) 703-7826
Type: Mailing
209 LILLY RD NE
OLYMPIA, WA 985065030
Phone: (360) 413-8250
Fax: (360) 413-8850
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $3,133.
Total Amount is formed as General ($3,133) + Research ($0) + Ownership ($0) = $3,133.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Merz North America, Inc. ($2,550).
Total Amount
$3,133
General + Research + Ownership
Payments
30
Total payment records
General Amount
$3,133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merz North America, Inc. | $2,550 |
| MERZ NORTH AMERICA, INC. | $515 |
| REVANCE THERAPEUTICS, INC. | $54 |
| Nevro Corp. | $14 |
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: 2018-12-12
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 |
|---|---|---|---|---|
| I20181212002331 | I | Certified Registered Nurse Anesthetist (Crna) | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37203)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA |
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