Individual provider Active NPI

Blakeley Ward, CRNA

  • Certified Registered Nurse Anesthetist
  • Jackson, MS
National Provider Identifier
1184675571
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R858198 Issued in MS
Practice address
2500 N State St
PFS
Jackson, MS 39216-4500
Phone
(601) 984-4619
Fax
(601) 984-4657
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R858198 MS Primary

Addresses

Primary practice location

2500 N State St
PFS
Jackson, MS 39216-4500

Mailing address

105 S Glen PL
Madison, MS 39110-6904
Phone (601) 613-6609

Other identifiers 2

IdentifierTypeStateIssuer
09136271MedicaidMS
P00793035OtherMSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040723000138 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527053214 Reassigns benefits to 12 organizations
I20251118001172 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527053214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Mississippi School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Health SystemGroup PAC ID 9830593821, 12 clinicians
State of Mississippi - University of Mississippi Medical CenterGroup PAC ID 1850293036, shared by 23 NPIs, 956 clinicians

Practice addresses (Care Compare)

1400 E Union St
Greenville, MS 38703-3246
Phone (662) 378-3783

1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

960 Avent Dr
Grenada, MS 38901-5230
Phone (662) 227-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R858198MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Mar 24, 2016 Accepting new patients
Delta Health System Nurse Anesthetist, Certified Registered CurrentSince May 29, 2025 Accepting new patients
Ward Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2025 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Mar 24, 2016 Accepting new patients
Jackson Anesthesia Associates PA CurrentSince May 1, 2017 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 6, 2025 Accepting new patients
State of Mississippi-University of Mississippi Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
South Sunflower County Hospital Current Accepting new patients
South Sunflower County Hospital CurrentSince Apr 30, 2019 Accepting new patients
South Sunflower County Hospital CurrentSince Apr 30, 2019 Accepting new patients
Perioperative Services of Mississippi, LLC CurrentSince Apr 1, 2018 Accepting new patients
Lakeland Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients

Locations

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

160 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000

1970 Hospital Dr
Clarksdale, MS 38614
Phone (662) 624-3185

1053 River Oaks Dr
#C
Flowood, MS 39232
Phone (601) 969-1430

330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151

1400 E Union St
Greenville, MS 38703
Phone (601) 427-0422

960 Avent Dr
#J
Grenada, MS 38901
Phone (662) 227-6450

121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113

2001 Airport Rd N
Ste 308
Jackson, MS 39232
Phone (601) 936-0681

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Organizations & group practices 17

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

View all 17

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1184675571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S GLEN PL",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106904",
            "telephone_number": "601-613-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "address_2": "PFS",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-4619",
            "fax_number": "601-984-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "BLAKELEY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R858198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09136271",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00793035",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.