Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLAKE BURK CRNA
NPI 1811676489
Nurse Anesthetist, Certified Registered in Phoenix, AZ

Q: What is Blake Burk's NPI number?

The NPI number for Blake Burk is 1811676489. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Q: What is Blake Burk's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Blake Burk was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.

Active since July 12, 2023

4605 E ELWOOD ST STE 500, PHOENIX, AZ 85040(480) 256-1518(480) 304-3446 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2026, Jul 12, 2023 (2 updates tracked since 2023).

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About Blake Burk Crna NPPES

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

BLAKE BURK CRNA (NPI 1811676489) is an individual nurse anesthetist, certified registered in Phoenix, Arizona, licensed in Oregon (10041275) and active in the NPI registry since July 2023. He is affiliated with Providence St Vincent Medical Center and is a graduate of Other (2023).

NPPES Registry Identity

NPI1811676489

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBLAKE BURKCredential: CRNA

Location Address4605 E ELWOOD ST STE 500Phoenix, AZ 85040-1978

Mailing Address4605 E Elwood St Ste 500Phoenix, AZ 85040-1978 · (480) 256-1518 · Fax (480) 304-3446

Phone(480) 256-1518

Fax(480) 304-3446

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 12, 2023

Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1811676489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in OR · 10041275✔ Licensed in AZ · 301627

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN9494883 (FL)

4605 E ELWOOD ST STE 500, Phoenix, AZ 85040

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Other Identifiers 2

OtherRN9494883FL · Rn License

Other301627AZ · Crna License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blake Burk 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 ID8022451640

PECOS Enrollment IDI20250707001763

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

14 services14 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

13 services13 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380004

Location9205 SW Barnes RoadPortland, OR 97225 · Washington County

Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380061

Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County

Emergency services Birthing friendly

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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.

MARSHALL BARR BERGEN CRNA

Nurse Anesthetist, Certified Registered