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

Mr. Blake Hawk, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1417409251

Mr. Blake Hawk, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Elkhart, Indiana. Qualified in 2016, 10 years ago. Practices with Australia Anesthesia Management LLC, a 57-clinician group and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
10
Licensed in
IN, OH
In the registry since
2016
Specialties on file
2
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

600 E Blvd
Elkhart, IN 46514-2483
Phone: (574) 523-3193
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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 28198864A (IN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN.400991 (OH)

Record details

NPI number1417409251
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 27, 2016
Last updated in NPPESOctober 27, 2016
Mailing address202 Orchard Park Dr, Wakarusa, IN 46573-9738

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Australia Anesthesia Management Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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