Summer R. Black, CRNA
NPI 1871113696ActiveIndividual· Nurse Anesthetist, Certified Registered· Carbondale, IL
Nurse Anesthetist, Certified Registered (CRNA) with Southeast Missouri Hospital Physicians LLC, practicing in Carbondale, Illinois. Medicare paid $4,664 for services to 57 patients in 2024. Medtronic, Inc. was the largest of 2 companies reporting payments in 2025, $37.70 in all, mostly food and beverage. Lists Mercy Hospital Southeast as a hospital affiliation.
Overview
| NPI | 1871113696 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Apr 22, 2020 |
| Last updated in NPPES | Nov 9, 2020 |
| Certified by provider | Nov 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 209021758 | IL |
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) (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 57 across 24 procedure codes |
| Paid by Medicare | $4,664 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Southeast Missouri Hospital Physicians LLCCape Girardeau, MO · 209 clinicians
Hospital affiliation
- Mercy Hospital SoutheastCape Girardeau, MO
Industry payments (Open Payments)
- 2025$37.70 · 2 payments from 2 companies
- 2024$21.31 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $18.90 | 1 |
| Merck Sharp & Dohme LLC | $18.80 | 1 |
What the 2025 payments were for
- Food and Beverage$37.70 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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