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

Kelly Black

Individual provider Certified Registered Nurse Anesthetist · NPI 1881928299

Kelly Black is a Certified Registered Nurse Anesthetist (CRNA) in Amarillo, Texas. Qualified in 2009, 17 years ago. Practices with Patriot Anesthesia, a 5-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
17
Licensed in
TX
In the registry since
2009
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Practice location Address checks out

7100 W 9th Ave
Amarillo, TX 79106-1704
Phone: (806) 212-0247
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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 675500 (TX)

Record details

NPI number1881928299
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 1, 2009
Last updated in NPPESMay 14, 2018
Mailing address5327 N Central Expy, Ste 200, Dallas, TX 75205-3345

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Patriot Anesthesia — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Amarillo