DR. BENJAMIN BLAYLOCK CRNA
NPI 1154708170
Nurse Anesthetist, Certified Registered in Polk City, IA
About Dr. Benjamin Blaylock Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN BLAYLOCK CRNA (NPI 1154708170) is an individual nurse anesthetist, certified registered in Polk City, Iowa, licensed in Iowa (D124963) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Mercyone Newton Medical Center, and maintains a secondary practice location in West Des Moines.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Benjamin Blaylock 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.
Medicare Billing Reassignments
11Medicare enrollment records show Benjamin Blaylock reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ankeny, IA 50023
- Reassigned Medicare billing, Iowa enrollment
- 27 clinicians in this Medicare group
West Des Moines, IA 50266
- Reassigned Medicare billing, Iowa enrollment
- 21 clinicians in this Medicare group
West Des Moines, IA 50266
- Reassigned Medicare billing, Iowa enrollment
- 318 clinicians in this Medicare group
West Des Moines, IA 50266
- Reassigned Medicare billing, Iowa enrollment
- 34 clinicians in this Medicare group
Perry, IA 50220
- Reassigned Medicare billing, Iowa enrollment
- 62 clinicians in this Medicare group
Stratford, IA 50249
- Reassigned Medicare billing, Iowa enrollment
- 70 clinicians in this Medicare group
Newton, IA 50208
- Reassigned Medicare billing, Iowa enrollment
- 18 clinicians in this Medicare group
Pella, IA 50219
- Reassigned Medicare billing, Iowa enrollment
- 23 clinicians in this Medicare group
Grundy Center, IA 50638
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1821055989 (Iowa)
- 62 clinicians in this Medicare group
Manning, IA 51455
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1467509141 (Iowa)
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercyone Newton Medical Center
Acute Care Hospitals · Newton, IAVan Diest Medical Center
Critical Access Hospitals · Webster City, IAHansen Family Hospital
Critical Access Hospitals · Iowa Falls, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 50226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Benjamin Blaylock's NPI number?
The NPI number for Benjamin Blaylock is 1154708170. It was assigned to this individual provider in the NPPES registry on April 28, 2015.
Where is Benjamin Blaylock located?
Benjamin Blaylock practices at 1901 Meadow Lark Dr, Polk City, IA 50226. The listed phone number is (515) 494-9935.
What is Benjamin Blaylock's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Benjamin Blaylock enrolled in Medicare?
Yes. Benjamin Blaylock 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.
Which organizations bill Medicare for Benjamin Blaylock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Blaylock reassigns Medicare benefits to 11 organizations: M & M Anesthesia, LLC (Ankeny, IA), Ikc, LLC (West Des Moines, IA), The Iowa Clinic PC (West Des Moines, IA), Metro Anesthesia & Pain Mngmt LLP (West Des Moines, IA), Dallas County Hospital (Perry, IA) and 6 more organizations, listed in the Medicare section above. Each 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 Benjamin Blaylock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Blaylock accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Benjamin Blaylock 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 Benjamin Blaylock affiliated with any hospitals?
According to CMS data, Benjamin Blaylock is affiliated with Mercyone Newton Medical Center, Van Diest Medical Center and Hansen Family Hospital.
When was this NPI record last updated?
The NPPES record for Benjamin Blaylock was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Benjamin Blaylock, CRNA · NPI 1154708170
Nurse Anesthetist, Certified Registered physician in Polk City, Iowa. Individual provider, active in the CMS NPPES registry since April 28, 2015.
## Identity
- **NPI:** 1154708170 (Entity type: Individual)
- **Enumerated:** April 28, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** D124963 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 1901 MEADOW LARK DR, Polk City, IA 50226-1283
- **Phone:** (515) 494-9935
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): M & M Anesthesia, LLC (NPI 1326668328, Ankeny, IA); Ikc, LLC (NPI 1659904803, West Des Moines, IA); The Iowa Clinic PC (NPI 1346233178, West Des Moines, IA); Metro Anesthesia & Pain Mngmt LLP (NPI 1013065747, West Des Moines, IA); Dallas County Hospital (NPI 1669477089, Perry, IA); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 2017
## Record status
- **NPPES last updated:** December 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1154708170) · Data from the CMS NPPES public registry.