Travis C Blackhurst, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Glendive, MT

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Travis C Blackhurst, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Glendive, Montana. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Santiam Memorial Hospital, Glendive Medical Center Inc and his current practice location is 202 Prospect Dr, Glendive, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 345-3306.

Travis C Blackhurst is licensed to practice in Montana (license number 159520) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548528706.

Contact Information

Travis C Blackhurst, CRNA
202 Prospect Dr,
Glendive, MT 59330-1999
(406) 345-3306
Not Available

Map and Direction




Provider's Profile

Full NameTravis C Blackhurst
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location202 Prospect Dr, Glendive, Montana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Travis C Blackhurst graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1548528706
  • Provider Enumeration Date: 04/25/2012
  • Last Update Date: 12/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436307741
  • Enrollment ID: I20141025000008

Medical Identifiers

Medical identifiers for Travis C Blackhurst such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548528706NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 201402871CRNA (Oregon)Secondary
367500000XNurse Anesthetist, Certified Registered SRA100081 (Colorado)Secondary
367500000XNurse Anesthetist, Certified Registered R51894 (North Dakota)Secondary
367500000XNurse Anesthetist, Certified Registered 159520 (Montana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santiam HospitalStayton, ORHospital
Glendive Medical CenterGlendive, MTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Santiam Memorial Hospital610372975182
Glendive Medical Center Inc721484682314

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Travis C Blackhurst allows following entities to bill medicare on his behalf.
Entity NameGood Shepherd Health Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295789667
PECOS PAC ID: 9133033764
Enrollment ID: O20031118000046
Entity NameGrande Ronde Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467446195
PECOS PAC ID: 0547170789
Enrollment ID: O20031124000758
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982774378
PECOS PAC ID: 4587573001
Enrollment ID: O20031215000598
Entity NameSantiam Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912178823
PECOS PAC ID: 6103729751
Enrollment ID: O20040130000239

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Travis C Blackhurst is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Travis C Blackhurst, CRNA
1115 Se 164th Ave Dept 358,
Vancouver, WA 98683-8004

Ph: (360) 729-1253		Travis C Blackhurst, CRNA
202 Prospect Dr,
Glendive, MT 59330-1999

Ph: (406) 345-3306

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Glendive, MT

Mr. Joseph C Chamberlain, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 202 Prospect Dr, Glendive, MT 59330
Phone: 406-345-3306    
Shawn Patrick Regan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 202 Prospect Dr, Glendive, MT 59330
Phone: 406-345-3306    
Jeffery R. Schultz, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 202 Prospect Dr, Glendive, MT 59330
Phone: 406-345-3345    Fax: 406-345-3347
Sally Reichert, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 202 Prospect Dr, Glendive, MT 59330
Phone: 406-345-3306    Fax: 406-345-3358

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.