Mr Kristopher A Black, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Pueblo, CO

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Mr Kristopher A Black, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pueblo, Colorado. He graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Campbell County Hospital District, West Park Hospital District and his current practice location is 1008 Minnequa Ave, Or/anesthesiology, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 557-3824.

Mr Kristopher A Black is licensed to practice in Colorado (license number 121197) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124265590.

Contact Information

Mr Kristopher A Black, CRNA
1008 Minnequa Ave, Or/anesthesiology,
Pueblo, CO 81004-3733
(719) 557-3824
(719) 557-3834

Map and Direction




Provider's Profile

Full NameMr Kristopher A Black
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience18 Years
Location1008 Minnequa Ave, Pueblo, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kristopher A Black graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1124265590
  • Provider Enumeration Date: 01/07/2009
  • Last Update Date: 07/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6901962901
  • Enrollment ID: I20210804002948

Medical Identifiers

Medical identifiers for Mr Kristopher A Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124265590NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 47932 (Wyoming)Secondary
367500000XNurse Anesthetist, Certified Registered 121197 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Campbell County Memorial HospitalGillette, WYHospital
Cody Regional HealthCody, WYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Campbell County Hospital District2860392529128
West Park Hospital District731585562485

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kristopher A Black allows following entities to bill medicare on his behalf.
Entity NameWest Park Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558351536
PECOS PAC ID: 7315855624
Enrollment ID: O20040127000865
Entity NameCampbell County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710098868
PECOS PAC ID: 2860392529
Enrollment ID: O20040206000510
Entity NameWest Park Hospital District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1558351536
PECOS PAC ID: 7315855624
Enrollment ID: O20090420000561
Entity NameNorthern Wyoming Surgical Anesthesia LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740027812
PECOS PAC ID: 9931630837
Enrollment ID: O20241002003303

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kristopher A Black is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kristopher A Black, CRNA
Po Box 1155, Attn Aqreva,
Billings, MT 59103-1155

Ph: (719) 557-3824		Mr Kristopher A Black, CRNA
1008 Minnequa Ave, Or/anesthesiology,
Pueblo, CO 81004-3733

Ph: (719) 557-3824

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Pueblo, CO

Lara Kjurston Knowles, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 400 W 16th St, Pueblo, CO 81003
Phone: 719-584-4000    
Malena Calle, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 400 W 16th St, Pueblo, CO 81003
Phone: 719-584-7305    
Michael R. Herron, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004
Phone: 719-560-5717    
Elizabeth Dias Morphis,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 400 W 16th St, Pueblo, CO 81003
Phone: 719-584-4000    
Chelsea Varner, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 400 W 16th St, Pueblo, CO 81003
Phone: 719-584-4045    
Mr. James Guzan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 112 W D St, Suite 210a, Pueblo, CO 81003
Phone: 330-442-3547    
Timothy Floyd, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 400 W 16th St, Pueblo, CO 81003
Phone: 719-584-4000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.