MR. KRISTOPHER A. BLACK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124265590
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
70 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WY
Provider Addresses for MR. KRISTOPHER A. BLACK (CRNA)
707 Sheridan Ave
Cody, WY 824143409
Phone: (075) 872-1393
Type: Location
Saint Mary-Corwin Medical Center, 1008, Minnequa Avenue, Pueblo, Pueblo County, Colorado, 81004, United States
OR/ANESTHESIOLOGY
PUEBLO, CO 810043733
Phone: (719) 557-3824
Fax: (719) 557-3834
Type: Mailing
PO BOX 1155
ATTN AQREVA
BILLINGS, MT 591031155
Phone: (719) 557-3824
Fax: (719) 557-3834
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.
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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: 2024-11-12
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20090226000455 | I | Certified Registered Nurse Anesthetist (Crna) | CO | TBD |
| I20210804002948 | I | Certified Registered Nurse Anesthetist (Crna) | WY | TBD |
| I20241112003052 | I | Certified Registered Nurse Anesthetist (Crna) | MT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 38 | 37 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 31 | 31 | $0 |
| 00142 | Anesthesia for lens surgery | 19 | 19 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 16 | 16 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 15 | 15 | $0 |
Insurance plans in this area (ZIP 82414)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | CO | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | WY | |
| - | ID | |
| Nurse Practitioner | WY | |
| - | OR | |
| R H E U M A T O L O G Y | MT | |
| Emergency Medicine | WY | |
| Family Practice, Osteopathic Manipulative Medicine, Hospitalist, Family Practice | NE | |
| - | WY | |
| Family Practice, Hospitalist, Family Practice | NE | |
| - | WY |
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