TRAVIS C BLACKHURST CRNA
NPI 1548528706
Nurse Anesthetist, Certified Registered in Glendive, MT

Active since April 25, 2012Accepts Medicare Assignment
202 PROSPECT DR, GLENDIVE, MT 59330(406) 345-3306 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 22, 2023, Jan 3, 2022, Oct 12, 2021 and 1 more (4 updates tracked since 2021).

About Travis C Blackhurst Crna NPPES

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

TRAVIS C BLACKHURST CRNA (NPI 1548528706) is an individual nurse anesthetist, certified registered in Glendive, Montana, licensed in Montana (159520) and active in the NPI registry since April 2012. He is affiliated with Glendive Medical Center, maintains a secondary practice location in Minot, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1548528706
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTRAVIS C BLACKHURSTCredential: CRNA
Location Address202 PROSPECT DRGlendive, MT 59330-1999
Mailing Address1115 Se 164th Ave Dept 358Vancouver, WA 98683-8004 · (360) 729-1253 · Fax (360) 729-3185
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 25, 2012
Last NPPES UpdateSeptember 23, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
✔ NPI 1548528706 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 MT · 159520✔ Licensed in OR · 201402871CRNA✔ Licensed in CO · SRA100081✔ Licensed in ND · R51894
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.
202 PROSPECT DR, Glendive, MT 59330

Secondary Practice Location 1

Location 12305 37th Ave SWMinot, ND 58701-7669 · Phone (701) 857-5000

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

Travis C Blackhurst 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 ID9436307741
PECOS Enrollment IDI20211014002826, I20230728003194, I20250425001752, I20260331000268

Medicare Billing Reassignments

9

Medicare enrollment records show Travis Blackhurst reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access Hospital
202 PROSPECT DR
Glendive, MT 59330
  • Reassigned Medicare billing, Montana enrollment
  • Also billed through NPI 1073523635 (Montana)
  • 38 clinicians in this Medicare group
Critical Access
2600 WILSON ST
Miles City, MT 59301
  • Reassigned Medicare billing, Montana enrollment
  • Also billed through NPI 1225201825 (Montana)
  • 29 clinicians in this Medicare group
Radiology
1321 W DAKOTA PKWY
Williston, ND 58801
  • Reassigned Medicare billing, North Dakota enrollment
  • 339 clinicians in this Medicare group
Occupational Medicine
1531 W VILLARD ST STE A
Dickinson, ND 58601
  • Reassigned Medicare billing, North Dakota enrollment
  • 779 clinicians in this Medicare group
Family Medicine
131 RED DEVIL DRIVE
Hulett, WY 82720
  • Reassigned Medicare billing, Wyoming enrollment
  • 285 clinicians in this Medicare group
Specialist
508 N WILBUR AVE
Walla Walla, WA 99362
  • Reassigned Medicare billing, Washington enrollment
  • 232 clinicians in this Medicare group
Critical Access
610 NW 11TH ST
Hermiston, OR 97838
  • Reassigned Medicare billing, Oregon enrollment
  • 344 clinicians in this Medicare group
Family Medicine
280 S FIRST AVE
Mill City, OR 97360
  • Reassigned Medicare billing, Oregon enrollment
  • 152 clinicians in this Medicare group
Physical Therapist
2009 HOLTON ROAD
Muskegon, MI 49445
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 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.

Hospital Affiliations CMS Care Compare 4

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

Glendive Medical Center

Critical Access Hospitals · Glendive, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271332
Location202 Prospect DrGlendive, MT 59330 · Dawson County
Emergency services

Trinity Hospitals

Acute Care Hospitals · Minot, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350006
Location407 3rd St SEMinot, ND 58701 · Ward County
Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Campbell County Health

Acute Care Hospitals · Gillette, WY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530002
Location501 South Burma AvenueGillette, WY 82716 · Campbell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59330 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

Nurse Anesthetist, Certified Registered
202 PROSPECT DR
GLENDIVE, MT 59330
Clinic/Center (Critical Access Hospital)
202 PROSPECT DR
GLENDIVE, MT 59330
Medicare Defined Swing Bed Unit
202 PROSPECT DR
GLENDIVE, MT 59330
Nurse Practitioner
202 PROSPECT DR
GLENDIVE, MT 59330
Nurse Anesthetist, Certified Registered
202 PROSPECT DR
GLENDIVE, MT 59330
Clinic/Center (Emergency Care)
202 PROSPECT DR
GLENDIVE, MT 59330
Nurse Practitioner (Family)
202 PROSPECT DR
GLENDIVE, MT 59330
Hospitalist
202 PROSPECT DR
GLENDIVE, MT 59330

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 Travis Blackhurst's NPI number?

The NPI number for Travis Blackhurst is 1548528706. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Travis Blackhurst located?

Travis Blackhurst practices at 202 Prospect Dr, Glendive, MT 59330. The listed phone number is (406) 345-3306.

What is Travis Blackhurst's specialty?

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

Is Travis Blackhurst enrolled in Medicare?

Yes. Travis Blackhurst 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 Travis Blackhurst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Travis Blackhurst reassigns Medicare benefits to 9 organizations: Glendive Medical Center, Inc (Glendive, MT), Holy Rosary Healthcare (Miles City, MT), Trinity Health (Williston, ND), Sanford Bismarck (Dickinson, ND), Campbell County Hospital District (Hulett, WY) and 4 more organizations, listed in the Medicare section above. 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 Travis Blackhurst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Travis Blackhurst accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Sanford Health Plan list Travis Blackhurst 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 Travis Blackhurst affiliated with any hospitals?

According to CMS data, Travis Blackhurst is affiliated with Glendive Medical Center, Trinity Hospitals, Sanford Medical Center Bismarck and Campbell County Health.

When was this NPI record last updated?

The NPPES record for Travis Blackhurst was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.