Jack Colt Blaine, CRNA
Certified Registered Nurse Anesthetist · Albuquerque, NM
Jack Colt Blaine, CRNA is a certified registered nurse anesthetist with a practice address in Albuquerque, New Mexico, and NPI 1811999642, issued on Aug 11, 2005. Check the license (New Mexico CRNA00868, as entered in NPPES) with the New Mexico board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jack Colt Blaine
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License numbers
- CRNA00868 NM
CRNA0061 AZ
NA1771 CA
AP108435 TX
Self-reported in NPPES; status is on the state search - Practice location
- 6709 Academy RD NE Ste A, Albuquerque, NM 87109
- Phone
- (505) 312-4712
- Enumerated
- Aug 11, 2005
- Record last updated
- Jan 19, 2022
- Medicare enrollment
- Enrolled (PECOS I20070911000418); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 347 in New Mexico → Look up another NPI →
Also registered at 6709 Academy RD NE Ste A
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Laura Bauders, CRNACertified Registered Nurse Anesthetist1083044135
- Marin Boerner, CRNACertified Registered Nurse Anesthetist1316736986
- Rachel BradfordCertified Registered Nurse Anesthetist1346110699
- Casilyn Challacombe, RNCertified Registered Nurse Anesthetist1396406922
- Andre ChepetanCertified Registered Nurse Anesthetist1780286344
- Isabella CortesCertified Registered Nurse Anesthetist1386505873
Verify Jack Colt Blaine in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New Mexico board licenses this profession
Search for license CRNA00868Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 82.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
One hospital affiliation
- Yuma Regional Medical CenterYuma, AZ · Acute Care Hospitals2 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Jack Colt Blaine among 347 certified registered nurse anesthetist records in New Mexico
Jack Colt Blaine, CRNA is one of 347 certified registered nurse anesthetist records with a practice address in New Mexico. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 88% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated1989 · median 2016 among the 243 with a school on file
- Record last updated2022 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a New Mexico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Certified Registered Nurse Anesthetist providers in New Mexico
There are 347 certified registered nurse anesthetist records in New Mexico.
All 347 in New Mexico → Every provider in Albuquerque → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Michael Anderson, CRNAAlbuquerque, NM 871091073525945
- Michael Bailey, CRNAAlbuquerque, NM 871091043264880
- Pauline Brown, CRNAAlbuquerque, NM 871091346242583
- Paul Butler, CRNAAlbuquerque, NM 871091164536801
- Leslie Dobbs, CRNAAlbuquerque, NM 871091396732814
- Richard Flowers, CRNAAlbuquerque, NM 871091295747103
- Thomas Kelchlin, CRNAAlbuquerque, NM 871091609869205
- Audra Kochansky, CRNAAlbuquerque, NM 871091720089162
Common questions
What is Jack Colt Blaine, CRNA's NPI number?
Jack Colt Blaine, CRNA's National Provider Identifier (NPI) is 1811999642, issued on Aug 11, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Jack Colt Blaine, CRNA located?
The NPPES record lists a practice address at 6709 Academy RD NE Ste A, Albuquerque, NM, 87109. Phone: (505) 312-4712. Providers update this record themselves, so call before visiting.
How can I verify Jack Colt Blaine, CRNA's license?
NPPES lists New Mexico license number CRNA00868, as entered by the provider. Search the New Mexico board that licenses this profession; the NPPES record confirms identity only.
What is Jack Colt Blaine, CRNA's MIPS final score?
The 2023 MIPS final score is 82.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.