MR. BLAKE HAWK CRNA
NPI 1417409251
Nurse Anesthetist, Certified Registered in Elkhart, IN
About Mr. Blake Hawk Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BLAKE HAWK CRNA (NPI 1417409251) is an individual nurse anesthetist, certified registered in Elkhart, Indiana, licensed in Indiana (28198864A) and active in the NPI registry since October 2016. He is affiliated with Saint Joseph Regional Medical Center and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mr. Blake Hawk 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.
Medicare Billing Reassignments
5Medicare enrollment records show Blake Hawk reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 216 clinicians in this Medicare group
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 76 clinicians in this Medicare group
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 54 clinicians in this Medicare group
Goshen, IN 46526
- Reassigned Medicare billing, Indiana enrollment
- 83 clinicians in this Medicare group
La Porte, IN 46350
- Reassigned Medicare billing, Indiana enrollment
- 141 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph Regional Medical Center
Acute Care Hospitals · Mishawaka, INGoshen Hospital
Acute Care Hospitals · Goshen, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ELKHART, IN 46514
ELKHART, IN 46514
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 Hawk's NPI number?
The NPI number for Blake Hawk is 1417409251. It was assigned to this individual provider in the NPPES registry on October 27, 2016.
Where is Blake Hawk located?
Blake Hawk practices at 600 East Blvd, Elkhart, IN 46514. The listed phone number is (574) 523-3193.
What is Blake Hawk's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Blake Hawk enrolled in Medicare?
Yes. Blake Hawk 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 Hawk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blake Hawk reassigns Medicare benefits to 5 organizations: Saint Joseph Regional Medical Center-South Bend Campus, Inc. (Mishawaka, IN), Cep America - Anesthesia PC (Mishawaka, IN), United Surgeons, LLC (Mishawaka, IN), Australia Anesthesia Management LLC (Goshen, IN) and Jebs Anesthesia Consultants, LLC (La Porte, IN). 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 Hawk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blake Hawk accept?
Health plans from CareSource list Blake Hawk 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 Hawk affiliated with any hospitals?
According to CMS data, Blake Hawk is affiliated with Saint Joseph Regional Medical Center and Goshen Hospital.
When was this NPI record last updated?
The NPPES record for Blake Hawk was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mr. Blake Hawk, CRNA · NPI 1417409251
Nurse Anesthetist, Certified Registered physician in Elkhart, Indiana. Individual provider, active in the CMS NPPES registry since October 27, 2016.
## Identity
- **NPI:** 1417409251 (Entity type: Individual)
- **Enumerated:** October 27, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 28198864A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 EAST BLVD, Elkhart, IN 46514-2483
- **Phone:** (574) 523-3193
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Saint Joseph Regional Medical Center-South Bend Campus, Inc. (NPI 1144580150, Mishawaka, IN); Cep America - Anesthesia PC (NPI 1306722418, Mishawaka, IN); United Surgeons, LLC (NPI 1376148593, Mishawaka, IN); Australia Anesthesia Management LLC (NPI 1700601903, Goshen, IN); Jebs Anesthesia Consultants, LLC (NPI 1790447761, La Porte, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 27, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1417409251) · Data from the CMS NPPES public registry.