MOLLY BLOODGOOD CRNA
NPI 1538080502
Nurse Anesthetist, Certified Registered in Scottsbluff, NE

Active since July 23, 2026
4021 AVENUE B, SCOTTSBLUFF, NE 69361(308) 635-3711 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 31, 2026, Jul 23, 2026 (2 updates tracked since 2026).

About Molly Bloodgood Crna NPPES

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

MOLLY BLOODGOOD CRNA (NPI 1538080502) is an individual nurse anesthetist, certified registered in Scottsbluff, Nebraska, licensed in Nebraska (102019) and active in the NPI registry since July 2026. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1538080502
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMOLLY BLOODGOODCredential: CRNA
Location Address4021 AVENUE BScottsbluff, NE 69361-4602
Mailing Address1963 S 1130 WWoods Cross, UT 84087-2320
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 23, 2026
Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1538080502 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
Licenses✔ Licensed in NE · 102019✔ Licensed in UT · 13534253-8901
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.
4021 AVENUE B, Scottsbluff, NE 69361

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Molly Bloodgood Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577022169
PECOS Enrollment IDI20260825001068

Medicare Billing Reassignment

Medicare enrollment records show Molly Bloodgood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
4021 AVENUE B
Scottsbluff, NE 69361
  • Reassigned Medicare billing, Nebraska enrollment
  • 61 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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Hospitalist
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Hospitalist
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Pharmacist (Pharmacotherapy)
4021 AVENUE B, INPATIENT PHARMACY
SCOTTSBLUFF, NE 69361
Speech-Language Pathologist
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Emergency Medicine
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Pharmacist
4021 AVENUE B, REGIONAL WEST MEDICAL CENTER
SCOTTSBLUFF, NE 69361
Physical Therapist
4021 AVENUE B
SCOTTSBLUFF, NE 69361

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 Molly Bloodgood's NPI number?

The NPI number for Molly Bloodgood is 1538080502. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Molly Bloodgood located?

Molly Bloodgood practices at 4021 Avenue B, Scottsbluff, NE 69361. The listed phone number is (308) 635-3711.

What is Molly Bloodgood's specialty?

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

Is Molly Bloodgood enrolled in Medicare?

Yes. Molly Bloodgood is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Molly Bloodgood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Molly Bloodgood reassigns Medicare benefits to Northstar Anesthesia Of Nebraska LLC (Scottsbluff, NE). The 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 Molly Bloodgood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Molly Bloodgood was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.