JASON BARRY BLACKBURN CRNA
NPI 1306344049
Nurse Anesthetist, Certified Registered in Southfield, MI

Active since January 29, 2018Accepts Medicare Assignment
16001 W 9 MILE RD, SOUTHFIELD, MI 48075(248) 849-2037 Get Directions Write a Review

NPPES record last updated: January 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jason Barry Blackburn Crna NPPES

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

JASON BARRY BLACKBURN CRNA (NPI 1306344049) is an individual nurse anesthetist, certified registered in Southfield, Michigan, licensed in Michigan (4704286557) and active in the NPI registry since January 2018. He is affiliated with Trinity Health Ann Arbor Hospital and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306344049
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJASON BARRY BLACKBURNCredential: CRNA
Location Address16001 W 9 MILE RDSouthfield, MI 48075-4818
Mailing Address21921 Trombly StSaint Clair Shores, MI 48080-1282 · (586) 899-0774
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 29, 2018
NPI 1306344049 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 MI · 4704286557
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.
16001 W 9 MILE RD, Southfield, MI 48075

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

Jason Barry Blackburn 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 ID4688938665
PECOS Enrollment IDI20180426002487

Hospital Affiliations CMS Care Compare

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

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Anesthesiology
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Pediatrics (Neonatal-Perinatal Medicine)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Nurse Practitioner (Acute Care)
16001 W 9 MILE RD, 101 FISCHER CENTER
SOUTHFIELD, MI 48075
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Nurse Practitioner (Adult Health)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Emergency Medicine
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Nurse Practitioner (Family)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075

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 Jason Blackburn's NPI number?

The NPI number for Jason Blackburn is 1306344049. It was assigned to this individual provider in the NPPES registry on January 29, 2018.

Where is Jason Blackburn located?

Jason Blackburn practices at 16001 W 9 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 849-2037.

What is Jason Blackburn's specialty?

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

Is Jason Blackburn enrolled in Medicare?

Yes. Jason Blackburn 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.

Is Jason Blackburn affiliated with any hospitals?

According to CMS data, Jason Blackburn is affiliated with Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Jason Blackburn was last updated on January 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.