BLAKE JACKMAN PULVER CRNA
NPI 1548705148
Nurse Anesthetist, Certified Registered in Fort Collins, CO
About Blake Jackman Pulver Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE JACKMAN PULVER CRNA (NPI 1548705148) is an individual nurse anesthetist, certified registered in Fort Collins, Colorado, licensed in Colorado (C-APN.0001041-C-CRNA) and active in the NPI registry since January 2017.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blake Jackman Pulver Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Blake Pulver reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ogden, UT 84405
- Reassigned Medicare billing, Utah enrollment
- 164 clinicians in this Medicare group
St George, UT 84790
- Reassigned Medicare billing, Utah enrollment
- 8 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 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT COLLINS, CO 80524
FORT COLLINS, CO 80524
FORT COLLINS, CO 80524
FORT COLLINS, CO 80524
FORT COLLINS, CO 80524
FORT COLLINS, CO 80524
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 Pulver's NPI number?
The NPI number for Blake Pulver is 1548705148. It was assigned to this individual provider in the NPPES registry on January 5, 2017.
Where is Blake Pulver located?
Blake Pulver practices at 1236 E Elizabeth St Ste 1, Fort Collins, CO 80524. The listed phone number is (970) 224-2985.
What is Blake Pulver's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Blake Pulver enrolled in Medicare?
Yes. Blake Pulver is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Blake Pulver's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blake Pulver reassigns Medicare benefits to 2 organizations: Nph Anesthesia Of Utah, LLC (Ogden, UT) and Blue Skies Anesthesia LLC (St George, UT). 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 Pulver'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 Blake Pulver was last updated on June 27, 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.
# Blake Jackman Pulver, CRNA · NPI 1548705148
Nurse Anesthetist, Certified Registered physician in Fort Collins, Colorado. Individual provider, active in the CMS NPPES registry since January 5, 2017.
## Identity
- **NPI:** 1548705148 (Entity type: Individual)
- **Enumerated:** January 5, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** C-APN.0001041-C-CRNA (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1236 E ELIZABETH ST STE 1, Fort Collins, CO 80524
- **Phone:** (970) 224-2985
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Nph Anesthesia Of Utah, LLC (NPI 1366077273, Ogden, UT); Blue Skies Anesthesia LLC (NPI 1144070673, St George, UT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1548705148) · Data from the CMS NPPES public registry.