JONATHAN BLACKMORE PHILLIPS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023362407

JONATHAN BLACKMORE PHILLIPS (CRNA) is a healthcare provider. based in Dallas, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 779588 (TX). The NPI Number for JONATHAN BLACKMORE PHILLIPS (CRNA) is 1023362407

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN BLACKMORE PHILLIPS (CRNA)
NPI
1023362407
Phone
(972) 715-5000
Address
PO BOX 650865
Enumeration Date
6 November 2012
Last Update Date
9 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175732273
Graduation Year
2012 (14 years ago)
PAC ID
9032364054
Group Practice PAC ID
1355606641
Professional Enrollment ID
I20130223000075
Address ID
TX760485655GR1310XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for JONATHAN BLACKMORE PHILLIPS (CRNA)

  • PO BOX 650865

    DALLAS, TX 752650865

    Phone: (972) 715-5000

    Fax: (972) 715-9976

    Type: Mailing

  • 6606 LBJ FWY

    SUITE 200

    DALLAS, TX 752406533

    Phone: (972) 715-5000

    Fax: (972) 715-9976

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-03-11 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($51).

Total Amount

$51

General + Research + Ownership

Payments

2

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-02-23

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
I20130223000075ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
00812Anesthesia for exam of colon using an endoscope2222$0
01402Anesthesia for procedure for total knee joint replacement1414$0
View full utilization report →

Insurance plans in this area (ZIP 75265)

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Provider's Procedures

JONATHAN BLACKMORE PHILLIPS (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETTX01402Anesthesia for open or endoscopic total knee joint replacement1111
CERTIFIED REGISTERED NURSE ANESTHETTX76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1313

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: 1355606641View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
-GA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
Anesthesiology, Interventional Pain ManagementTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Where can patients find JONATHAN BLACKMORE PHILLIPS (CRNA)'s NPI?
You can confirm JONATHAN BLACKMORE PHILLIPS (CRNA) with NPI 1023362407; it appears in the national provider directory.
Is JONATHAN BLACKMORE PHILLIPS (CRNA) currently active in the NPI registry?
CMS-published data lists JONATHAN BLACKMORE PHILLIPS (CRNA) as an active registrant.
Does JONATHAN BLACKMORE PHILLIPS (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for JONATHAN BLACKMORE PHILLIPS (CRNA). Clinical services aligned with this taxonomy classification.
What location shows for JONATHAN BLACKMORE PHILLIPS (CRNA)?
We surface Dallas, Texas for JONATHAN BLACKMORE PHILLIPS (CRNA) based on available NPPES addresses.
Is JONATHAN BLACKMORE PHILLIPS (CRNA) a real provider?
This page reflects official NPPES data for NPI 1023362407. Always confirm identity and privileges with the practice and licensing boards.

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