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AMANDA BLALOCK MCCOLLOUGH CRNA
NPI 1205357480
Nurse Anesthetist, Certified Registered in Raleigh, NC

Active since June 28, 2017Accepts Medicare Assignment
4420 LAKE BOONE TRL, RALEIGH, NC 27607(919) 784-3100 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2022, Aug 18, 2020, Jun 28, 2017 (3 updates tracked since 2017).

About Amanda Blalock Mccollough Crna NPPES

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

AMANDA BLALOCK MCCOLLOUGH CRNA (NPI 1205357480) is an individual nurse anesthetist, certified registered in Raleigh, North Carolina, licensed in Texas (AP134144) and active in the NPI registry since June 2017. She is affiliated with Rex Hospital and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205357480
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAMANDA BLALOCK MCCOLLOUGHCredential: CRNA
Location Address4420 LAKE BOONE TRLRaleigh, NC 27607-7505
Mailing Address7409 Tall Oaks CtRaleigh, NC 27613-1540 · (512) 633-9841
Phone(919) 784-3100
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 28, 2017
Last NPPES UpdateFebruary 25, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2022
✔ NPI 1205357480 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 TX · AP134144
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.
4420 LAKE BOONE TRL, Raleigh, NC 27607
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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 Texas, Cigna Healthcare.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

Amanda Blalock Mccollough 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 ID8022388933
PECOS Enrollment IDI20220303000397

Medicare Billing Reassignments

5

Medicare enrollment records show Amanda Mccollough reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Raleigh Sedation Associates LLC
0.4 mi
Nurse Anesthetist, Certified Registered
2417 ATRIUM DR STE 101
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 133 clinicians in this Medicare group
NPI 1639698533 (919) 249-5246
Duke University Health System, Inc.
4.8 mi
Internal Medicine
3400 WAKE FOREST RD
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1497912232 (North Carolina)
  • 1,482 clinicians in this Medicare group
NPI 1477584894 (919) 954-3271
Duke Health Integrated Practice, Inc
4.8 mi
Gastroenterology
3480 WAKE FOREST RD STE 500
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1780374884 (919) 862-5075
American Anesthesiology Of North Carolina, PLLC
13 mi
Pain Medicine
110 CAPCOM AVE STE 200
Wake Forest, NC 27587
  • Reassigned Medicare billing, North Carolina enrollment
  • 652 clinicians in this Medicare group
NPI 1942248547 (984) 215-6931
Rsa Johnston LLC
20 mi
Nurse Anesthetist, Certified Registered
1820 NC HIGHWAY 42 W STE 100
Clayton, NC 27520
  • Reassigned Medicare billing, North Carolina enrollment
  • 38 clinicians in this Medicare group
NPI 1346094380 (615) 263-4011

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 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 lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
22 services21 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
18 services18 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

NADER CYRUS EMAMI-KELISHADI PA
Physician Assistant
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (703) 585-0860
ERIC LINTON
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOSHUA DAVID FISHER FNP
Nurse Practitioner (Family)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
MALLORY WOLTERING RN
Registered Nurse (Critical Care Medicine)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOHN O COLLINS M.D.
Psychiatry & Neurology (Neurology)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-7093
ERIN D RUSINEK PA-C
Physician Assistant
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818
DONNA RANSOM CRNA
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3034
JOELLEN C SPECA M.D.
Internal Medicine (Hematology & Oncology)
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818

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 Amanda Mccollough's NPI number?

The NPI number for Amanda Mccollough is 1205357480. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Amanda Mccollough located?

Amanda Mccollough practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-3100.

What is Amanda Mccollough's specialty?

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

Is Amanda Mccollough enrolled in Medicare?

Yes. Amanda Mccollough 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 Amanda Mccollough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Mccollough reassigns Medicare benefits to 5 organizations: Raleigh Sedation Associates LLC (Raleigh, NC), Duke University Health System, Inc. (Raleigh, NC), Duke Health Integrated Practice, Inc (Raleigh, NC), American Anesthesiology Of North Carolina, PLLC (Wake Forest, NC) and Rsa Johnston LLC (Clayton, NC). 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 Amanda Mccollough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Mccollough accept?

Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Amanda Mccollough 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 Amanda Mccollough affiliated with any hospitals?

According to CMS data, Amanda Mccollough is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Mccollough was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.