Individual provider Active NPI

Blaine Emanuel Rider, CRNA

  • Certified Registered Nurse Anesthetist
  • Kingwood, TX
National Provider Identifier
1679869168
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
087222 Issued in MO
Practice address
808 Russell Palmer Rd
Kingwood, TX 77339-1689
Phone
(281) 540-0685
Fax
(281) 540-0684
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP120948 TX
Certified Registered Nurse Anesthetist 367500000X 087222 MO Primary

Addresses

Primary practice location

808 Russell Palmer Rd
Kingwood, TX 77339-1689

Mailing address

1610 Leafhopper LN
Conroe, TX 77301-5306
Phone (337) 322-4753

Other practice location 1

2602 Saint Michael Dr Ste 301
Texarkana, TX 75503-5206
Phone (903) 614-5258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000688 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911171921 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uvalde County Hospital AuthorityGroup PAC ID 7315832722, 26 clinicians

Practice addresses (Care Compare)

1025 Garner Field Rd
Uvalde, TX 78801-4809
Phone 83027862511257

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
087222MOMDCertified Registered Nurse Anesthetist
AP120948TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Nov 16, 2016 Accepting new patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2012 Accepting new patients
Val Verde Hospital Corporation CurrentSince Jun 10, 2015 Accepting new patients
Christus Health Ark-la-Tex Current Accepting new patients
Christus Health Ark-la-Tex CurrentSince Jan 29, 2024 Accepting new patients
Nhci of Hillsboro Inc Nurse Anesthetist, Certified Registered CurrentSince May 31, 2022 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 9, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 1, 2023 Accepting new patients
Uvalde County Hospital Authority CurrentSince Jan 26, 2025 Accepting new patients
Val Verde Hospital Corporation Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2015 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 1, 2023 Accepting new patients
Nhci of Hillsboro Inc CurrentSince May 31, 2022 Accepting new patients
Uvalde County Hospital Authority CurrentSince Jan 26, 2025 Accepting new patients
Christus Health Ark-la-Tex CurrentSince Jan 29, 2024 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Nov 16, 2016 Accepting new patients
Stratus Dominion Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 24, 2024 Accepting new patients
Hill Regional Physician Group, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 27, 2024 Accepting new patients
Stratus Anesthesia Associates Dallas PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
North Houston Anesthesiologists, PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 26)

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

1501 River Pointe Dr
Ste 260
Conroe, TX 77304
Phone (936) 494-3003

5600 W Lovers Ln
Dallas, TX 75209
Phone (214) 520-4000

25 Highland Park Vlg
Ste 100765
Dallas, TX 75205
Phone (214) 219-3747

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

3455 Locke Ave
Ste 210
Fort Worth, TX 76107
Phone (817) 377-5223

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

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

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

2604 Saint Michael Dr
Ste 239
Texarkana, TX 75503
Phone (903) 614-5330

2602 Saint Michael Dr
Ste 301
Texarkana, TX 75503
Phone (903) 614-5258

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254

1324 Brown St
Waxahachie, TX 75165
Phone (972) 937-4000

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Organizations & group practices 20

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 20

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1679869168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 LEAFHOPPER LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773015306",
            "telephone_number": "337-322-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 RUSSELL PALMER RD",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391689",
            "telephone_number": "281-540-0685",
            "fax_number": "281-540-0684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Saint Michael Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755035206",
            "country_code": "US",
            "telephone_number": "903-614-5258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDER",
        "first_name": "BLAINE",
        "middle_name": "EMANUEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP120948",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "087222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.