Kristopher A. Black, CRNA
NPI 1124265590ActiveIndividual· Nurse Anesthetist, Certified Registered· Pueblo, CO
Nurse Anesthetist, Certified Registered (CRNA) with Campbell County Hospital District and 1 other group, practicing in Pueblo, Colorado. Medicare paid $33,369 for services to 226 patients in 2024. Lists Campbell County Health and 1 other hospital as hospital affiliations.
Overview
| NPI | 1124265590 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | Yes |
| NPI issued | Jan 7, 2009 |
| Last updated in NPPES | Jul 8, 2021 |
| Certified by provider | Jul 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 121197 | CO |
| Nurse Anesthetist, Certified Registered | 367500000X | 47932 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (CO); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MT); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 226 |
|---|---|
| Services billed | 271 across 43 procedure codes |
| Paid by Medicare | $33,369 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Campbell County Hospital DistrictGillette, WY · 131 clinicians
- West Park Hospital DistrictCody, WY · 85 clinicians
Hospital affiliations
- Campbell County HealthGillette, WY
- Cody Regional HealthCody, WY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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