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

Mr. Nicholas Paul Black, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1780822163

Mr. Nicholas Paul Black, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Yukon, Oklahoma. Qualified in 2008, 18 years ago. Practices with Surgical Hospital of Oklahoma LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
18
Licensed in
OK
In the registry since
2009
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

1201 Health Center Pkwy
Yukon, OK 73099-6381
Phone: (405) 717-6800
Fax: (405) 717-7964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104-5036 — (405) 271-4351

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 94051 (OK)

Record details

NPI number1780822163
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 23, 2009
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Surgical Hospital Of Oklahoma Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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