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

Molly Black

Individual provider Certified Registered Nurse Anesthetist · NPI 1114529674

Molly Black is a Certified Registered Nurse Anesthetist (CRNA) in Fort Polk, Louisiana. Qualified in 2022, 4 years ago. Practices with University Anesthesiology Associates LLC, a 240-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon and Texas.

Years since qualifying
4
Licensed in
OR, TX
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1585 3rd St
Fort Polk, LA 71459-5102
Phone: (210) 862-9692
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 43 Bassett St, Fort Bragg, NC 28307-2032 — (210) 862-9692
  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 494-7641

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 971137 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 10041796 (OR)

Record details

NPI number1114529674
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 10, 2020
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Anesthesiology Associates Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Polk