KENDRA SCHERRIE BLACKEAGLE CRNA
NPI 1801177621
Nurse Anesthetist, Certified Registered in Concord, NC

Active since September 07, 2011Accepts Medicare Assignment
920 CHURCH ST N, CONCORD, NC 28025(704) 403-2715(704) 699-2453 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kendra Scherrie Blackeagle Crna NPPES

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

KENDRA SCHERRIE BLACKEAGLE CRNA (NPI 1801177621) is an individual nurse anesthetist, certified registered in Concord, North Carolina, licensed in North Carolina (6506) and active in the NPI registry since September 2011. She is affiliated with Novant Health Rowan Medical Center and is a graduate of Other (2011).

NPPES Registry Identity

NPI1801177621
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKENDRA SCHERRIE BLACKEAGLECredential: CRNA
Location Address920 CHURCH ST NConcord, NC 28025-2927
Mailing Address920 Church St NConcord, NC 28025-2927 · (704) 403-2715 · Fax (704) 699-2453
Fax(704) 699-2453
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 7, 2011
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1801177621 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 NC · 6506✔ Licensed in MI · 4704287475✔ Licensed in NC · 328087
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.
920 CHURCH ST N, Concord, NC 28025

Other Names 1

Former Name (1)Kendra S. Wilkes

Other Identifiers 2

Other1801177621NC · Individual
Other4704287475MI · Mi License

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

Kendra Scherrie Blackeagle 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 ID2769653625
PECOS Enrollment IDI20201202000989

Medicare Billing Reassignments

14

Medicare enrollment records show Kendra Blackeagle reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology
1070 VINEHAVEN DRIVE NE
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 58 clinicians in this Medicare group
Anesthesiology
8800 N TRYON ST
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,212 clinicians in this Medicare group
Hematology & Oncology
8401 UNIVERSITY EXEC PARK DR STE 130
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
  • 926 clinicians in this Medicare group
Ambulatory Surgical
10030 GILEAD ROAD
Huntersville, NC 28078
  • Reassigned Medicare billing, North Carolina enrollment
  • 545 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
8201 HEALTHCARE LOOP
Charlotte, NC 28215
  • Reassigned Medicare billing, North Carolina enrollment
  • 703 clinicians in this Medicare group
Neurology
612 MOCKSVILLE AVE.
Salisbury, NC 28144
  • Reassigned Medicare billing, North Carolina enrollment
  • 686 clinicians in this Medicare group
Specialist
1500 MATTHEWS TOWNSHIP PKWY
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • 649 clinicians in this Medicare group
Hematology & Oncology
276 OLD MOCKSVILLE RD STE 800
Statesville, NC 28625
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
14215 BALLANTYNE CORPORATE PL STE 210
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 543 clinicians in this Medicare group
Specialist
207 OLD LEXINGTON RD
Thomasville, NC 27360
  • Reassigned Medicare billing, North Carolina enrollment
  • 719 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

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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…
100%1,828 patients5/55-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)
100%1,830 patients5/55-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.

Emergency Medicine
920 CHURCH ST N
CONCORD, NC 28025
Internal Medicine
920 CHURCH ST N, SUITE 255
CONCORD, NC 28025
Physician Assistant
920 CHURCH ST N
CONCORD, NC 28025
Internal Medicine
920 CHURCH ST N, SUITE 255
CONCORD, NC 28025
Internal Medicine (Critical Care Medicine)
920 CHURCH ST N
CONCORD, NC 28025
Nurse Anesthetist, Certified Registered
920 CHURCH ST N
CONCORD, NC 28025
Physician Assistant
920 CHURCH ST N
CONCORD, NC 28025
Home Health
920 CHURCH ST N
CONCORD, NC 28025

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 Kendra Blackeagle's NPI number?

The NPI number for Kendra Blackeagle is 1801177621. It was assigned to this individual provider in the NPPES registry on September 7, 2011. The provider is also known as Kendra S. Wilkes.

Where is Kendra Blackeagle located?

Kendra Blackeagle practices at 920 Church St N, Concord, NC 28025. The listed phone number is (704) 403-2715.

What is Kendra Blackeagle's specialty?

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

Is Kendra Blackeagle enrolled in Medicare?

Yes. Kendra Blackeagle 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 Kendra Blackeagle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Blackeagle reassigns Medicare benefits to 14 organizations: Cabarrus Gastroenterology Associates, PLLC (Concord, NC), Chs Anesthesia Services Group Inc (Charlotte, NC), The Presbyterian Hospital (Charlotte, NC), Presbyterian Sameday Surgery Center At Huntersville LLC (Huntersville, NC), Novant Health Mint Hill Medical Center, LLC (Charlotte, NC) and 9 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 Kendra Blackeagle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendra Blackeagle accept?

Health plans from Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. list Kendra Blackeagle 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 Kendra Blackeagle affiliated with any hospitals?

According to CMS data, Kendra Blackeagle is affiliated with Novant Health Rowan Medical Center.

When was this NPI record last updated?

The NPPES record for Kendra Blackeagle was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.