Benjamin Blaylock, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D124963 Issued in IA

Practice address

1901 Meadow Lark Dr
Polk City, IA 50226-1283

Phone

(515) 494-9935

NPI assigned

Apr 28, 2015

Last updated

Dec 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of Iowa, RJ & L Carver College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M and M Anesthesia LLCGroup PAC ID 2961823596, 18 clinicians

Mercy Medical Center-NewtonGroup PAC ID 7911803176, 15 clinicians

The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Newton Medical Center Hospital, Newton, IA, CCN 160032
• Van Diest Medical Center Hospital, Webster City, IA, CCN 161361
• Hansen Family Hospital Hospital, Iowa Falls, IA, CCN 161380

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bblaylock255607@direct.unitypoint.org
• Direct secure messaging: himadmin@vdmc.cernerdirect.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M & M Anesthesia, LLC

  dba Heartland Anesthesia & Constulting

  • Certified Registered Nurse Anesthetist
  • Ankeny, IA
  • NPI 1326668328

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Mercy Medical Center-Newton

  dba MercyOne Newton Medical Center

  • Certified Registered Nurse Anesthetist
  • Newton, IA
  • NPI 1134509292

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• The Iowa Clinic PC

  dba The Iowa Clinic

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1346233178
  Medicare reassignment Care Compare group NPD
• Anesthesia Iowa PLC

  • Anesthesiology Physician
  • Pella, IA
  • NPI 1114018983
  Medicare reassignment NPD
• Dallas County Hospital

  • Critical Access Hospital
  • Perry, IA
  • NPI 1669477089
  Medicare reassignment NPD
• Franklin General Hospital

  • Critical Access Hospital
  • Hampton, IA
  • NPI 1477637759
  Medicare reassignment NPD
• Grundy County Memorial Hospital

  dba GCMH Professional Services

  • Emergency Medicine Physician
  • Grundy Center, IA
  • NPI 1114012085

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Grundy County Memorial Hospital

  • Critical Access Hospital
  • Grundy Center, IA
  • NPI 1821055989
  Medicare reassignment NPD
• Hamilton County Public Hospital

  dba VanDiest Medical Center

  • Critical Access Hospital
  • Webster City, IA
  • NPI 1295702397
  Medicare reassignment NPD
• Hamilton County Public Hospital

  dba Van Diest Medical Center Stratford Clinic

  • Rural Health Clinic/Center
  • Stratford, IA
  • NPI 1497957351
  Medicare reassignment NPD
• Ikc, LLC

  dba Iowa Ketamine Clinic

  • Clinic/Center
  • West Des Moines, IA
  • NPI 1659904803
  Medicare reassignment NPD
• Manning Regional Healthcare Center

  • Family Medicine Physician
  • Manning, IA
  • NPI 1306969175

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ellsworth Municipal Hospital

  dba Hansen Family Hospital

  • Critical Access Hospital
  • Iowa Falls, IA
  • NPI 1831296052
  Care Compare affiliation
• Hamilton County Public Hospital

  dba VanDiest Medical Center

  • Critical Access Hospital
  • Webster City, IA
  • NPI 1295702397
  Care Compare affiliation
• Hamilton County Public Hospital

  dba Van Diest Medical Center Stratford Clinic

  • Rural Health Clinic/Center
  • Stratford, IA
  • NPI 1497957351

  Hospital

  Care Compare affiliation
• Mercy Medical Center-Newton

  dba MercyOne Newton Medical Center

  • General Acute Care Hospital
  • Newton, IA
  • NPI 1003296179
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1154708170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEADOW LARK DR",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "50226",
            "telephone_number": "515-494-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEADOW LARK DR",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502261283",
            "telephone_number": "515-494-9935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 29th St",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502661302",
            "country_code": "US",
            "telephone_number": "515-988-1564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAYLOCK",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D124963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIM@flmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Franklin General Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1720 Central Ave E",
            "city": "Hampton",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504411869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIM@elmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "HANSEN FAMILY HOSPITAL DIRECT EMAIL ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "920 S Oak St",
            "city": "Iowa Falls",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501262400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIMADMIN@VDMC.CERNERDIRECT.COM",
            "affiliation": "N",
            "endpointDescription": "VAN DIEST CENTER IN WEBSTER CITY DIRECT EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "2350 Hospital Dr",
            "city": "Webster City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505956600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Logan Albaugh
• Authentic Aliveness, PLLC
• Hannah Rose Bergland, LISW
• Ashley Elizabeth Bertsch, MSW, LCSW, LISW
• Big Creek Family Dental PLLC
• Jennifer Blaylock, FNP
• James Leroy Blessman, MD
• Seth Bonifas
• Brenda Lee Carlson, APRN, ACNS-BC
• Centers for Long Term Care of Iowa (CLC Polk CIty)

• Certified Registered Nurse Anesthetist in Polk City, IA
• Providers in Polk City, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.