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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLAKE D. WEATHERBY CRNA
NPI 1235734542
Nurse Anesthetist, Certified Registered in Rogers, AR

Active since December 03, 2020Accepts Medicare Assignment
76.04/100
CMS Quality Rating
2710 S RIFE MEDICAL LN, ROGERS, AR 72758(479) 338-8000(479) 338-3056 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2026, Feb 1, 2021, Dec 3, 2020 (3 updates tracked since 2020).

About Blake D. Weatherby Crna NPPES

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

BLAKE D. WEATHERBY CRNA (NPI 1235734542) is an individual nurse anesthetist, certified registered in Rogers, Arkansas, licensed in Arkansas (213551) and active in the NPI registry since December 2020. He is affiliated with Freeman Health System - Freeman West, maintains a secondary practice location in Joplin, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1235734542
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBLAKE D. WEATHERBYCredential: CRNA
Location Address2710 S RIFE MEDICAL LNRogers, AR 72758-1452
Mailing AddressPo Box 507Lowell, AR 72745-0507 · (479) 338-8000 · Fax (479) 338-3056
Phone(479) 338-8000
Fax(479) 338-3056
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 3, 2020
Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1235734542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in AR · 213551✔ Licensed in MO · 2026009627
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License TEMP213551 (AR), 864477 (TX)
2710 S RIFE MEDICAL LN, Rogers, AR 72758
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Secondary Practice Location 1

Location 11102 W 32nd StJoplin, MO 64804-3503 · Phone (417) 347-5222 · Fax (417) 347-5221

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Blake D. Weatherby 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 ID9830504976
PECOS Enrollment IDI20210223000994

Medicare Billing Reassignments

5

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

Healing Springs Anesthesia, PLLC
5.8 mi
Nurse Anesthetist, Certified Registered
10912 OLD FASHION DR
Bentonville, AR 72713
  • Reassigned Medicare billing, Arkansas enrollment
  • 11 clinicians in this Medicare group
NPI 1912786880 (501) 412-6312
Premier Anesthesia Of Arkansas Professional Corporation
14 mi
Anesthesiology
3215 N NORTHHILLS BLVD
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 185 clinicians in this Medicare group
NPI 1932519485 (404) 941-1210
Freeman-Oak Hill Health System
55 mi
Multi-Specialty
1102 W 32ND ST
Joplin, MO 64804
  • Reassigned Medicare billing, Missouri enrollment
  • 427 clinicians in this Medicare group
NPI 1679517023 (417) 347-6605
North Arkansas Regional Medical Center
60 mi
General Acute Care Hospital
620 N MAIN ST
Harrison, AR 72601
  • Reassigned Medicare billing, Arkansas enrollment
  • 36 clinicians in this Medicare group
NPI 1275523912 (870) 414-5000
Renew Medical Group Of Arkansas Ltd
66 mi
Anesthesiology
7301 ROGERS AVE
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 168 clinicians in this Medicare group
NPI 1215755947 (479) 314-6000

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 2

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 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.
17 services17 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.

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72758 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.08
Improvement Activities40
Cost40.15

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.

ALYSSA MICHELLE ADAIR DNAP, CRNA
Nurse Anesthetist, Certified Registered
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (479) 338-8000
HELEN LEIGHANN HONG
Nurse Anesthetist, Certified Registered
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (479) 338-8000
AMANDA MARIE EICHHOLZ PA
Physician Assistant
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (479) 381-2694
CHAD SILVEY CRNA
Nurse Anesthetist, Certified Registered
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (479) 338-8000
SHAWN HOWELL DO
Hospitalist
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (479) 338-8000
MANIKANDAN RAJAGOPAL M.D.
Hospitalist
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (479) 338-8000
CINTIA M DOWNING APN
Nurse Practitioner (Acute Care)
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (479) 636-0200
TANNER NICHOLS DO
Radiology (Diagnostic Radiology)
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (870) 897-5840

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 Blake Weatherby's NPI number?

The NPI number for Blake Weatherby is 1235734542. It was assigned to this individual provider in the NPPES registry on December 3, 2020.

Where is Blake Weatherby located?

Blake Weatherby practices at 2710 S Rife Medical Ln, Rogers, AR 72758. The listed phone number is (479) 338-8000.

What is Blake Weatherby's specialty?

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

Is Blake Weatherby enrolled in Medicare?

Yes. Blake Weatherby 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 Blake Weatherby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Weatherby reassigns Medicare benefits to 5 organizations: Healing Springs Anesthesia, PLLC (Bentonville, AR), Premier Anesthesia Of Arkansas Professional Corporation (Fayetteville, AR), Freeman-Oak Hill Health System (Joplin, MO), North Arkansas Regional Medical Center (Harrison, AR) and Renew Medical Group Of Arkansas Ltd (Fort Smith, AR). 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 Blake Weatherby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Weatherby accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Blake Weatherby 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 Blake Weatherby affiliated with any hospitals?

According to CMS data, Blake Weatherby is affiliated with Freeman Health System - Freeman West.

When was this NPI record last updated?

The NPPES record for Blake Weatherby was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.