Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jack Colt Blaine, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1811999642

Mr. Jack Colt Blaine, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Albuquerque, New Mexico. Qualified in 1989, 37 years ago. Practices with Yuma Regional Medical Center, a 372-clinician group and accepts Medicare assignment. Licensed in Arizona, California, New Mexico and Texas.

Years since qualifying
37
Licensed in
AZ, CA, NM, TX
In the registry since
2005
Specialties on file
4
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

6709 Academy Rd NE Ste A
Albuquerque, NM 87109-3363
Phone: (505) 312-4712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CRNA00868 (NM)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence CRNA0061 (AZ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence AP108435 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence NA1771 (CA)

Record details

NPI number1811999642
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedAugust 11, 2005
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Yuma Regional Medical Center — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients245
Services billed 256 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Yuma Regional Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 372 clinicians in the practice; 12 are shown here.

Other providers in Albuquerque