Jack Blaine, CRNA
NPI 1811999642 · Certified Registered Nurse Anesthetist · Albuquerque, NM
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Blaine, CRNA is a Certified Registered Nurse Anesthetist provider in Albuquerque, NM (NPI 1811999642).
Provider details
- NPI number
- 1811999642
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- CRNA0061 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
256 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Other Procedure on Large Bowel Using an Endoscope00811 | 130 | $115 |
| Anesthesia for Other Procedure on Esophagus, Stomach, Or Upper Small Bowel Using an Endoscope00731 | 66 | $123 |
| Anesthesia for Procedure on Small and Large Bowel Using an Endoscope00813 | 39 | $145 |
| Anesthesia for Exam of Colon Using an Endoscope00812 | 21 | $92 |
Typical Medicare-allowed amounts for these services range $92–$145 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-11
- Last updated
- 2022-01-19
- Certified
- 2022-01-19
Frequently asked questions
- What is Jack Blaine's NPI number?
- Jack Blaine's National Provider Identifier (NPI) is 1811999642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Blaine's specialty?
- Jack Blaine is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jack Blaine located?
- Jack Blaine's practice location on file with NPPES is 6709 Academy Rd Ne Ste a, Albuquerque, NM 87109-3363.
- What is Jack Blaine's phone number?
- The practice phone number listed in the NPPES registry for Jack Blaine is (505) 312-4712.
- Does Jack Blaine accept Medicare?
- Jack Blaine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Blaine's NPI active?
- Yes — Jack Blaine's NPI (1811999642) is active in the NPPES registry as of the last update on 2022-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.