MONTANA N BLACKLEY CRNA
NPI 1386095891
Nurse Anesthetist, Certified Registered in Olympia, WA

Q: What is Montana Blackley's NPI number?

The NPI number for Montana Blackley is 1386095891. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Q: What is Montana Blackley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Montana Blackley was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since June 27, 2016Accepts Medicare Assignment

209 LILLY RD NE, OLYMPIA, WA 98506(360) 413-8250(360) 413-8850 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2024, Feb 7, 2024, Feb 15, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Montana N Blackley Crna NPPES

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

MONTANA N BLACKLEY CRNA (NPI 1386095891) is an individual nurse anesthetist, certified registered in Olympia, Washington, licensed in Washington (AP60877588) and active in the NPI registry since June 2016. She maintains a secondary practice location in Olympia and is a graduate of Other (2016).

NPPES Registry Identity

NPI1386095891

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMONTANA N BLACKLEYCredential: CRNA

Location Address209 LILLY RD NEOlympia, WA 98506-5030

Mailing Address7615 Traditions Ave NeLacey, WA 98516-1335 · (503) 703-7826

Phone(360) 413-8250

Fax(360) 413-8850

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 27, 2016

Last NPPES UpdateSeptember 26, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2024

✔ NPI 1386095891 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 WA · AP60877588✔ Licensed in TN · 22155

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 201344 (TN)

209 LILLY RD NE, Olympia, WA 98506

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Secondary Practice Location 1

Location 1155 Lilly Rd NE Ste BOlympia, WA 98506-5028 · Phone (206) 538-6300 · Fax (206) 538-6301

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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

Montana N Blackley 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 ID42594129

PECOS Enrollment IDI20181212002331

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.

Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back 00300

Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

64%22 patients3/55-star benchmark: 100%

Pre-operative OSA assessment

Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)

94%33 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. BENJAMIN F MERRIFIELD MD

Internal Medicine (Gastroenterology)