BLACKWELL ANESTHESIA LLC
NPI 1053197343
Nurse Anesthetist, Certified Registered in Ellicott City, MD

Active since September 04, 2023
6011 UNIVERSITY BLVD STE 190, ELLICOTT CITY, MD 21043(410) 461-0960 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blackwell Anesthesia Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKWELL ANESTHESIA LLC (NPI 1053197343) is a healthcare organization registered as a nurse anesthetist, certified registered in Ellicott City, Maryland and active in the NPI registry since September 2023. The organization lists Poppy Walker, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1053197343
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameBLACKWELL ANESTHESIA LLC
Location Address6011 UNIVERSITY BLVD STE 190Ellicott City, MD 21043-6104
Mailing Address3301 S 14th St Ste 16180Abilene, TX 79605-5015 · (325) 675-6466 · Fax (325) 692-6030
Organization SubpartNo
Authorized OfficialPoppy WalkerPractice Administrator · (325) 675-6466
Enumeration DateSeptember 4, 2023
NPPES CertifiedSeptember 4, 2023
✔ NPI 1053197343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
6011 UNIVERSITY BLVD STE 190, Ellicott City, MD 21043

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blackwell Anesthesia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Blackwell Anesthesia LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1275063539
3001 S HANOVER ST
Baltimore, MD 21225
(410) 259-5320
✔ Accepts Medicare10 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1831435023
22 S GREENE ST
Baltimore, MD 21201
(800) 492-5538
11 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1326805896
9000 FRANKLIN SQUARE DR
Baltimore, MD 21237
(443) 777-7000
✔ Accepts Medicare20 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1295470706
3525 HARDWOOD TER
Spring Grove, PA 17362
(717) 969-4658
✔ Accepts Medicare42 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033400833
1001 S GEORGE ST
York, PA 17403
(717) 851-2345
✔ Accepts Medicare51 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477164093
1001 S GEORGE ST
York, PA 17403
(717) 741-5257
✔ Accepts Medicare51 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1114618535
1001 S GEORGE ST
York, PA 17403
(717) 812-7687
✔ Accepts Medicare51 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194104133
1703 INNOVATION DR STE 1100
York, PA 17408
(717) 782-5118
✔ Accepts Medicare53 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1912397589
1206 OLD CONCORD RD
Monroeville, PA 15146
(412) 952-8998
✔ Accepts Medicare178 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blackwell Anesthesia LLC's NPI number?

The NPI number for Blackwell Anesthesia LLC is 1053197343. It was assigned to this organization in the NPPES registry on September 4, 2023.

Where is Blackwell Anesthesia LLC located?

Blackwell Anesthesia LLC is located at 6011 University Blvd Ste 190, Ellicott City, MD 21043. The listed phone number is (410) 461-0960.

What is Blackwell Anesthesia LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Blackwell Anesthesia LLC enrolled in Medicare?

Yes. Blackwell Anesthesia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blackwell Anesthesia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Blackwell Anesthesia LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blackwell Anesthesia LLC was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.