AMYLIA ASHLEY BLACK CRNA
NPI 1881947372
Nurse Anesthetist, Certified Registered in Farmington, NM
About Amylia Ashley Black Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMYLIA ASHLEY BLACK CRNA (NPI 1881947372) is an individual nurse anesthetist, certified registered in Farmington, New Mexico, licensed in New Mexico (90687) and active in the NPI registry since October 2012. She is a graduate of Other (2018).
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 and accepts Medicare assignment
Amylia Ashley Black 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.
Medicare Billing Reassignments
2Medicare enrollment records show Amylia Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Farmington, NM 87401
- Reassigned Medicare billing, New Mexico enrollment
- 368 clinicians in this Medicare group
Bloomfield, NM 87413
- Reassigned Medicare billing, Texas enrollment
- 572 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FARMINGTON, NM 87401
FARMINGTON, NM 87401
FARMINGTON, NM 87401
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 Amylia Black's NPI number?
The NPI number for Amylia Black is 1881947372. It was assigned to this individual provider in the NPPES registry on October 21, 2012.
Where is Amylia Black located?
Amylia Black practices at 2300 E 30th St Bldg A, Farmington, NM 87401. The listed phone number is (505) 564-2300.
What is Amylia Black's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Amylia Black enrolled in Medicare?
Yes. Amylia Black 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 Amylia Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amylia Black reassigns Medicare benefits to 2 organizations: San Juan Regional Medical Center Inc (Farmington, NM) and Dhhs, Phs, Naihs, Shiprock Hospital (Bloomfield, NM). 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 Amylia Black'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 Amylia Black was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Amylia Ashley Black, CRNA · NPI 1881947372
Nurse Anesthetist, Certified Registered physician in Farmington, New Mexico. Individual provider, active in the CMS NPPES registry since October 21, 2012.
## Identity
- **NPI:** 1881947372 (Entity type: Individual)
- **Enumerated:** October 21, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 90687 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2300 E 30TH ST BLDG A, Farmington, NM 87401-8991
- **Phone:** (505) 564-2300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): San Juan Regional Medical Center Inc (NPI 1255285490, Farmington, NM); Dhhs, Phs, Naihs, Shiprock Hospital (NPI 1760427587, Bloomfield, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 13, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1881947372) · Data from the CMS NPPES public registry.