Mr Nicholas Paul Black, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Yukon, OK

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Mr Nicholas Paul Black, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Yukon, Oklahoma. He graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Surgical Hospital Of Oklahoma Llc and his current practice location is 1201 Health Center Pkwy, Yukon, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 717-6800.

Mr Nicholas Paul Black is licensed to practice in Oklahoma (license number 94051) 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 1780822163.

Contact Information

Mr Nicholas Paul Black, CRNA
1201 Health Center Pkwy,
Yukon, OK 73099-6381
(405) 717-6800
(405) 717-7964

Map and Direction




Provider's Profile

Full NameMr Nicholas Paul Black
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience17 Years
Location1201 Health Center Pkwy, Yukon, Oklahoma
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 Nicholas Paul Black graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1780822163
  • Provider Enumeration Date: 01/23/2009
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6901962547
  • Enrollment ID: I20120112000184

Medical Identifiers

Medical identifiers for Mr Nicholas Paul Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780822163NPI-NPPES
200226570AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 94051 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Surgical Hospital Of OklahomaOklahoma city, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Surgical Hospital Of Oklahoma Llc23653372686

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 Nicholas Paul Black allows following entities to bill medicare on his behalf.
Entity NameMccurtain Memorial Medical Management, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629020177
PECOS PAC ID: 8022926252
Enrollment ID: O20040626000315
Entity NameIntegris Ambulatory Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750333936
PECOS PAC ID: 2365408465
Enrollment ID: O20041209000354
Entity NameSurgical Hospital Of Oklahoma Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033229240
PECOS PAC ID: 2365337268
Enrollment ID: O20070423000351
Entity NameAnesthesia Of Enid Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235298241
PECOS PAC ID: 5193823631
Enrollment ID: O20070607000418
Entity NameAnesthesia Medical Professionals Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962785931
PECOS PAC ID: 5991970279
Enrollment ID: O20111215000187
Entity NameGroup Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881039014
PECOS PAC ID: 4082854336
Enrollment ID: O20130709000622
Entity NameKyle Jones Aprn-crna Pc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1992135628
PECOS PAC ID: 7719110402
Enrollment ID: O20140505000308
Entity NameOu Health Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528642642
PECOS PAC ID: 5991105876
Enrollment ID: O20210615000618
Entity NameOklahoma Anesthesia Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831874759
PECOS PAC ID: 6800243106
Enrollment ID: O20231108001032

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 Nicholas Paul 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 Nicholas Paul Black, CRNA
Po Box 26901,
Oklahoma City, OK 73126-0901

Ph: (405) 271-4351		Mr Nicholas Paul Black, CRNA
1201 Health Center Pkwy,
Yukon, OK 73099-6381

Ph: (405) 717-6800

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Yukon, OK

Dr. Tara Freeman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1201 Health Center Pkwy, Yukon, OK 73099
Phone: 405-717-6800    
Jason E Smith, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1201 Health Center Parkway, Yukon, OK 73099
Phone: 405-717-6800    Fax: 405-717-7964
Mr. Nicholas W Jennings, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1201 Health Center Pkwy, Yukon, OK 73099
Phone: 405-717-6800    Fax: 405-717-7964
Christopher Knowles, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1201 Health Center Pkwy, Yukon, OK 73099
Phone: 405-717-6800    Fax: 405-717-7964
Michael Tyler Pierce, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1201 Health Center Pkwy, Yukon, OK 73099
Phone: 405-717-6800    Fax: 405-717-7964
Bill D Tatum, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1201 Health Center Pkwy, Yukon, OK 73099
Phone: 405-717-6800    
Jerromy Jones, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1201 Health Center Pkwy, Yukon, OK 73099
Phone: 405-717-6800    Fax: 405-717-7964

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.