GARY A BLINN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1891861704

GARY A BLINN (CRNA) is a healthcare provider. based in Chattanooga, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN46237 (TN). The NPI Number for GARY A BLINN (CRNA) is 1891861704

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
GARY A BLINN (CRNA)
NPI
1891861704
Phone
(423) 778-7806
Address
975 E THIRD ST
Enumeration Date
24 November 2006
Last Update Date
20 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4238999080
Graduation Year
1983 (43 years ago)
PAC ID
7012181845
Group Practice PAC ID
3375881279
Professional Enrollment ID
I20111114000247
Address ID
TN374042934CH1301XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

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Provider Addresses for GARY A BLINN (CRNA)

  • East Third Street Church of Christ, East 3rd Street, Glenwood, Ridgeside, Chattanooga, Hamilton County, East Tennessee, Tennessee, 37404, United States

    CHATTANOOGA, TN 374032147

    Phone: (423) 778-7806

    Fax: (423) 778-2360

    Type: Location

  • PO BOX 11225

    CHATTANOOGA, TN 374012225

    Phone: (423) 892-5602

    Fax: (423) 892-5838

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($90).

Total Amount

$175

General + Research + Ownership

Payments

9

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-11-14

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
I20111114000247ICertified Registered Nurse Anesthetist (Crna)TNTBD

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 37403)

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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: 3375881279View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
-TN
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

Can I cross-check GARY A BLINN (CRNA) using NPI 1891861704?
NPI 1891861704 belongs to GARY A BLINN (CRNA); compare other details if you need extra assurance.
Is there an active status for GARY A BLINN (CRNA)?
For scheduling context, GARY A BLINN (CRNA) is shown as active in the registry.
What area of care is associated with GARY A BLINN (CRNA)?
GARY A BLINN (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is GARY A BLINN (CRNA) associated with Chattanooga?
Public fields place GARY A BLINN (CRNA) around Chattanooga, Tennessee. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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