Active NPI
Blake Cullom Muller, R.N. / C.R.N.A.
- Certified Registered Nurse Anesthetist
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP00000
- Practice address
- 15790 Paul Vega MD Dr
Anesthesia Department
Hammond, LA 70403-1434 - Phone
- (985) 230-2198
- Fax
- (985) 230-2173
- NPI assigned
- Jan 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA223081 | ME | |
| Certified Registered Nurse Anesthetist | 367500000X | AP00000 | LA | Primary |
| Registered Nurse | 163W00000X | RN124467 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | APN.25259 | SC |
Addresses
Primary practice location
15790 Paul Vega MD Dr
Anesthesia Department
Hammond, LA 70403-1434
Mailing address
PO Box 1609
Anesthesia Department
Hammond, LA 70404-1609
Phone (985) 230-2198
Other practice location 1
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2526
Other practice location 2
1000 Medical Center Dr
Hardeeville, SC 29927-3446
Phone (843) 784-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, SC, AR, TN, NC, MT, OR, CO
Enrollment records 8
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
Practice addresses (Care Compare)
17000 Medical Ctr Dr
Baton Rouge, LA 70816-3246
Phone (225) 752-2470
4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 613-0711
7777 Hennessy Blvd
Suite 215
Baton Rouge, LA 70808-4365
Phone (225) 456-5383
7777 Hennessy Blvd
Suite 301
Baton Rouge, LA 70808-0319
Phone (225) 214-6438
9001 Summa Ave
Suite 346
Baton Rouge, LA 70809-3779
Phone (833) 774-6327
Hospital & facility affiliations
- Our Lady of the Lake Regional Medical Center
- East Jefferson General Hospital
- Animas Surgical Hospital, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP00000 | LA | MD | Certified Registered Nurse Anesthetist |
| APN.25259 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ans Services of Arkansas PA | Current | Accepting new patients | |
| Diversified Professionals, Inc. | Current | Accepting new patients | |
| Western Arkansas Obstetric Anesthesia LLC | Current | Accepting new patients | |
| Childrens Hospital Anesthesia Corporation | Current | Accepting new patients | |
| Dpi of Louisiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Anesthesiologists, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Animas Surgical Hospital, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Letheon Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Washington - TCS | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Colorado Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Western Arkansas Anesthesiology Associates P.a. | Current | Accepting new patients | |
| Animas Surgical Hospital, LLC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Durango Surgery Center LLC | Current | Accepting new patients | |
| Zephyr Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Group Associates Inc | Current | Accepting new patients | |
| The Capital City Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Marcus Daly Memorial Hospital Corp | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Past | Accepting new patients | |
| University Anesthesiologists, PLLC | Past | Accepting new patients |
Locations (25 of 46)
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413
575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678
1266 Escalante Dr
Ste 101
Durango, CO 81303
Phone (248) 396-8109
8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615
7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443
8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000
11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058
7777 Hennessy Blvd
Ste 215
Baton Rouge, LA 70808
Phone (225) 456-5383
9001 Summa Ave
Baton Rouge, LA 70809
9001 Summa Ave
Ste 346
Baton Rouge, LA 70809
Phone (225) 515-5700
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436
5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050
505 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 201-0950
8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143
71070 Highway 21
Covington, LA 70433
Phone (225) 456-5383
1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975
15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682
Organizations & group practices 26
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.
-
- Specialist
- Baton Rouge, LA
- NPI 1255399598
-
- Anesthesiology Physician
- New Orleans, LA
- NPI 1649362740
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1144083387
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Baton Rouge, LA
- NPI 1619543055
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1700923992
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
- Anesthesiology Physician
- La Place, LA
- NPI 1891087458
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Durango, CO
- NPI 1861721714
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Hilton Head Island, SC
- NPI 1639995830
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1073619466
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
-
- General Acute Care Hospital
- Durango, CO
- NPI 1508842964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1922345446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1609",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704041609",
"telephone_number": "985-230-2198",
"fax_number": "985-230-2173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15790 PAUL VEGA MD DR",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031434",
"telephone_number": "985-230-2198",
"fax_number": "985-230-2173"
}
],
"practiceLocations": [
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023134",
"country_code": "US",
"telephone_number": "207-662-2526",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Hardeeville",
"state": "SC",
"postal_code": "299273446",
"country_code": "US",
"telephone_number": "843-784-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLER",
"first_name": "BLAKE",
"middle_name": "CULLOM",
"name_prefix": "Mr.",
"credential": "R.N. / C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-04",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "RNA223081",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP00000",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN124467",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "APN.25259",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.