Martin Eli Blagrove Jr., CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Raleigh, NC
NPI 1720127285 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1720127285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 250 (NC)
- Practice address
- 3000 New Bern Ave
Raleigh, NC 27610-1231 - Phone
- (919) 350-5645
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Johnston Health Services Corporation
Practice addresses (Care Compare)
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-6629
Hospital & facility affiliations
- Johnston Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080317000434 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5597840439 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perioperative Medicine Consultants, LLC | Past | Accepting new patients | |
| Anesthesia Resources of the Carolinas, P.a. | Past | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| The Eye Surgery Center of the Carolinas LP | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 250 | NC | Yes |
| Certified Registered Nurse Anesthetist | 367500000X | 183771 | NC |
Addresses
Primary practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Mailing address
PO Box 18139
Raleigh, NC 27619-8139
Other practice location 1
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-6629
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8051673 | Medicaid | NC | |
| 430078691 | Other | NC | RAILROAD-MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mblagrove9115@direct.UNC.nchie.net | Direct |
Other providers in Raleigh, NC
- Melvin Blackwell
- Ronald L Blackwell
- Tracelynn Jennings Blackwell
- Elizabeth Blackwood
- Sarah Evelyne Blackwood
- Briana Blair
- Ellen Kay Blair
- Jodi Blair
- Kimberley Blair
- Lauren Hailey Blair
All providers in Raleigh, NC · Certified Registered Nurse Anesthetist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.