Individual provider Active NPI

Melanie Black, CRNA

  • Certified Registered Nurse Anesthetist
  • Georgetown, TX
National Provider Identifier
1396007373
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP121975 Issued in TX
Practice address
1004 S Rock St
Georgetown, TX 78626-5837
Phone
(512) 374-1876
Fax
(512) 371-8788
NPI assigned
Jun 14, 2012
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 AP121975 TX Primary

Addresses

Primary practice location

1004 S Rock St
Georgetown, TX 78626-5837

Mailing address

1801 Tonkawa TRL
Round Rock, TX 78681-1723
Phone (828) 423-4354

Other identifiers 1

IdentifierTypeStateIssuer
121975OtherTXTXBON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120820001023 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305093725 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians

Practice addresses (Care Compare)

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (877) 882-9099

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2023 Accepting new patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2018 Accepting new patients
Westlake Anesthesia Group PA Current Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2017 Accepting new patients
Westlake Anesthesia Group PA Nurse Anesthetist, Certified Registered CurrentSince Jun 26, 2012 Accepting new patients
Easter Medical Management Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Easter Anesthesia Staffing Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

3944 Ranch Road 620 S
Bldg 8
Bee Cave, TX 78738
Phone (512) 263-1113

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

1907 Cypress Creek Rd
Ste 108
Cedar Park, TX 78613
Phone (512) 294-2565

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

7101 S Padre Island Dr
#D
Corpus Christi, TX 78412
Phone (361) 761-1400

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

1361 Hero Way
Ste 100
Leander, TX 78641
Phone (512) 371-1519

204 Gateway N
Ste B
Marble Falls, TX 78654
Phone (830) 798-1821

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232

5656 Bee Caves Rd
West Lake Hills, TX 78746
Phone (512) 314-3800

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1396007373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 TONKAWA TRL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811723",
            "telephone_number": "828-423-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S ROCK ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265837",
            "telephone_number": "512-374-1876",
            "fax_number": "512-371-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "MELANIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP121975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TXBON",
            "identifier": "121975",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.