ANDREW BLAIR (CRNA) – Certified Registered Nurse Anesthetist, NPI 1114371929

ANDREW BLAIR (CRNA) is a healthcare provider. based in Tacoma, Washington. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 76008 (NE). The NPI Number for ANDREW BLAIR (CRNA) is 1114371929

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW BLAIR (CRNA)
NPI
1114371929
Phone
(253) 968-0758
Address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
Enumeration Date
18 April 2016
Last Update Date
17 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9155217902
Graduation Year
2022 (4 years ago)
PAC ID
7719331347
Group Practice PAC ID
2365431509
Professional Enrollment ID
I20240214000889
Address ID
TX799052705EL4815XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:10State licenses:3Digital endpointsOther names

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

Provider Addresses for ANDREW BLAIR (CRNA)

  • MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE

    ATTN: MCHJ-CLQ-C

    TACOMA, WA 984311100

    Phone: (253) 968-0758

    Type: Location

  • 390 North Loop Road

    Fort Irwin, CA 92310

    Phone: (760) 383-5289

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone:

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372320001

    Phone: (615) 322-3000

    Type: Location

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: 2024-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240214000889ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20241021003827ICertified 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 98431)

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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: 2365431509View full group profile
NameSpecialtyState
Internal MedicineTX
Internal MedicineTX
N E U R O S U R G E R YAR
Gastroenterology, Internal MedicineTX
Certified Registered Nurse Anesthetist (Crna)TX
Internal MedicineTX
Internal Medicine, HospitalistTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up ANDREW BLAIR (CRNA) by NPI?
Use NPI 1114371929 when you need to reference ANDREW BLAIR (CRNA) in forms, claims, or directories.
Is ANDREW BLAIR (CRNA) active in the national directory?
ANDREW BLAIR (CRNA)'s public NPI profile is in an active state.
Does ANDREW BLAIR (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for ANDREW BLAIR (CRNA). Clinical services aligned with this taxonomy classification.
Does ANDREW BLAIR (CRNA) practice in Washington?
You will see Tacoma, Washington on file for ANDREW BLAIR (CRNA) alongside any extra practice locations.
Is ANDREW BLAIR (CRNA) a real provider?
This page reflects official NPPES data for NPI 1114371929. Always confirm identity and privileges with the practice and licensing boards.

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