ADAM J BLACKMON CRNA
NPI 1053776542
Nurse Anesthetist, Certified Registered in Tulsa, OK

Q: What is Adam Blackmon's NPI number?

The NPI number for Adam Blackmon is 1053776542. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Q: What is Adam Blackmon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Adam Blackmon was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 28, 2015Accepts Medicare Assignment

1923 S UTICA AVE, TULSA, OK 74104(918) 744-3664(918) 293-3178 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Adam J Blackmon Crna NPPES

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

ADAM J BLACKMON CRNA (NPI 1053776542) is an individual nurse anesthetist, certified registered in Tulsa, Oklahoma, licensed in Oklahoma (101534) and active in the NPI registry since December 2015. He is affiliated with Ssm Health St Anthony Hospital - Oklahoma City and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053776542

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameADAM J BLACKMONCredential: CRNA

Location Address1923 S UTICA AVETulsa, OK 74104-6520

Mailing Address1923 S Utica AveTulsa, OK 74104-6520

Phone(918) 744-3664

Fax(918) 293-3178

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateDecember 28, 2015

✔ NPI 1053776542 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

License✔ Licensed in OK · 101534

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.

1923 S UTICA AVE, Tulsa, OK 74104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adam J Blackmon Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335442763

PECOS Enrollment IDI20160119002404

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for electroshock therapy 00104

Anesthesia for electroshock therapy involves administering medications to put you into a deep sleep. This ensures you won't feel pain or remember the procedure. It's essential for your comfort and safety during the therapy.

146 services40 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

19 services19 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370037

Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County

Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Midwest

Acute Care Hospitals · Midwest City, OK

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370094

Location2825 Parklawn DriveMidwest City, OK 73110 · Oklahoma County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AALOK DEEP BISHWAS MD

Internal Medicine

1923 S UTICA AVE
TULSA, OK 74104

Tulsa County (845) 420-0558

WILLIAM FREDERICK FITTER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1923 S UTICA AVE
TULSA, OK 74104

Tulsa County (918) 744-2553

ST JOHN URGENT CARE CLINICS INC

Clinic/Center (Urgent Care)

1923 S UTICA AVE, DAVIS TOWER 200
TULSA, OK 74104

Tulsa County (918) 744-2345

MEGGIE FINLEY PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1923 S UTICA AVE
TULSA, OK 74104

Tulsa County (918) 102-0057

STEPHANIE CAY HOLT M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1923 S UTICA AVE
TULSA, OK 74104

Tulsa County (918) 744-2553

ROBERT BLANKENSHIP MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1923 S UTICA AVE
TULSA, OK 74104

Tulsa County (918) 712-3366

CHRISTOPHER THOMAS WARD CRNA

Nurse Anesthetist, Certified Registered

1923 S UTICA AVE
TULSA, OK 74104

Tulsa County (918) 744-2362

LINDSEY WEDLAKE APRN

Nurse Practitioner

1923 S UTICA AVE
TULSA, OK 74104

Tulsa County (918) 744-3131

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 Adam Blackmon's NPI number?

The NPI number for Adam Blackmon is 1053776542. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Where is Adam Blackmon located?

Adam Blackmon practices at 1923 S Utica Ave, Tulsa, OK 74104. The listed phone number is (918) 744-3664.

What is Adam Blackmon's specialty?

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

Is Adam Blackmon enrolled in Medicare?

Yes. Adam Blackmon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Adam Blackmon accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Adam Blackmon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adam Blackmon affiliated with any hospitals?

According to CMS data, Adam Blackmon is affiliated with Ssm Health St Anthony Hospital - Oklahoma City and Ssm Health St Anthony Hospital - Midwest.

When was this NPI record last updated?

The NPPES record for Adam Blackmon was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.