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ZACHARY DYLAN BLACKSTUN
NPI 1245891175
Anesthesiology in Plymouth, MN

Active since June 21, 2019PECOS EnrolledAccepts Medicare Assignment
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447(763) 559-7779(763) 450-3986 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 5, 2023, Jun 21, 2019 (2 updates tracked since 2019).

About Zachary Dylan Blackstun NPPES

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

ZACHARY DYLAN BLACKSTUN (NPI 1245891175) is an individual anesthesiology provider in Plymouth, Minnesota, licensed in Minnesota (73539) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Creighton University School Of Medicine (2019).

NPPES Registry Identity

NPI1245891175
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameZACHARY DYLAN BLACKSTUN
Location Address14700 28TH AVE N STE 20Plymouth, MN 55447-4876
Mailing AddressPo Box 47159Plymouth, MN 55447-0159 · (763) 559-3770
Phone(763) 559-7779
Fax(763) 450-3986
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2019
Enumeration DateJune 21, 2019
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1245891175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MN · 73539
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
14700 28TH AVE N STE 20, Plymouth, MN 55447
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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

Zachary Dylan Blackstun 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 ID4385978873
PECOS Enrollment IDI20230725002391
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Zachary Blackstun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metropolitan Anesthesia Network, LLP
Same address
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
NPI 1558314427 (763) 559-3779
University Anesthesia Providers, LLC
12 mi
Anesthesiology
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 681 clinicians in this Medicare group
NPI 1699711143 (612) 273-3000

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 7

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.
43 services38 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
21 services21 patients
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
21 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.
19 services19 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.
15 services15 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

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.

PETER WILLIAM COLEMAN
Anesthesiology
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (635) 593-7797
MEGAN ANN BORELLI
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (763) 559-3779
NICKOLAS C SOUTHWICK CRNA
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (763) 559-3779
LORNA BECHTEL
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (763) 559-3379
ANNA SPILLERS
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (763) 559-3779
KATHRYN MARIE HUBER SRNA
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (763) 559-3779
DR. JEFFREY MARK WISE II DO
Anesthesiology
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (763) 559-3779
MRS. GRETA SCHILLING HUNT CRNA
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Hennepin County (763) 559-3779

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 Zachary Blackstun's NPI number?

The NPI number for Zachary Blackstun is 1245891175. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Where is Zachary Blackstun located?

Zachary Blackstun practices at 14700 28th Ave N Ste 20, Plymouth, MN 55447. The listed phone number is (763) 559-7779.

What is Zachary Blackstun's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Zachary Blackstun enrolled in Medicare?

Yes. Zachary Blackstun 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 Zachary Blackstun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Blackstun reassigns Medicare benefits to 2 organizations: Metropolitan Anesthesia Network, LLP (Plymouth, MN) and University Anesthesia Providers, LLC (Minneapolis, MN). 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 Zachary Blackstun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Zachary Blackstun affiliated with any hospitals?

According to CMS data, Zachary Blackstun is affiliated with Allina United Hospital, Abbott Northwestern Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Zachary Blackstun was last updated on July 5, 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.