Individual provider Active NPI

Blake Cullom Muller, R.N. / C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Hammond, LA
National Provider Identifier
1922345446
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP00000 Issued in LA
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

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGMedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, SC, AR, TN, NC, MT, OR, CO8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20130409000049 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406092899 Reassigns benefits to 7 organizations
I20200520002508 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406092899 Reassigns benefits to 1 organization
I20220822000373 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406092899 Reassigns benefits to 2 organizations
I20220926001694 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406092899 Reassigns benefits to 1 organization
I20230207001597 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406092899
I20231025003258 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406092899 Reassigns benefits to 2 organizations
I20240309000714 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406092899 Reassigns benefits to 1 organization
I20240506001397 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406092899 Reassigns benefits to 2 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
Dpi of Louisiana LLCGroup PAC ID 1456886365, 72 clinicians
Childrens Hospital Anesthesia CorporationGroup PAC ID 0446152862, 281 clinicians
Letheon Anesthesia Services LLCGroup PAC ID 0244636827, 7 clinicians
Anesthesiology Group Associates IncGroup PAC ID 0042110298, 155 clinicians

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 Hospital, Baton Rouge, LA, CCN 190064
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Animas Surgical Hospital, LLC Hospital, Durango, CO, CCN 060117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP00000LAMDCertified Registered Nurse Anesthetist
APN.25259SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ans Services of Arkansas PA CurrentSince May 1, 2025 Accepting new patients
Diversified Professionals, Inc. CurrentSince Jun 29, 2013 Accepting new patients
Western Arkansas Obstetric Anesthesia LLC CurrentSince May 31, 2022 Accepting new patients
Childrens Hospital Anesthesia Corporation CurrentSince Feb 10, 2025 Accepting new patients
Dpi of Louisiana LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2022 Accepting new patients
Cep America - Anesthesia PC CurrentSince Apr 1, 2025 Accepting new patients
Animas Surgical Hospital, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Letheon Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 7, 2025 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince Jan 28, 2024 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2024 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 CurrentSince Mar 22, 2025 Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Sep 25, 2023 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Mar 22, 2025 Accepting new patients
Western Arkansas Anesthesiology Associates P.a. CurrentSince May 31, 2022 Accepting new patients
Animas Surgical Hospital, LLC CurrentSince Mar 1, 2025 Accepting new patients
Cep America - Anesthesia PC CurrentSince Apr 1, 2025 Accepting new patients
Durango Surgery Center LLC CurrentSince Mar 1, 2025 Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Anesthesiology Group Associates Inc CurrentSince Jan 21, 2013 Accepting new patients
The Capital City Anesthesia Group, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 25, 2024 Accepting new patients
Marcus Daly Memorial Hospital Corp CurrentSince Sep 25, 2023 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.

View all 26

Hospital & facility affiliations 9

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": "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.

Verify at the official NPI Registry.