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

Summer R Black, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1871113696

Summer R Black, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Carbondale, Illinois. Qualified in 2020, 6 years ago. Practices with Southeast Missouri Hospital Physicians LLC, a 206-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
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

405 W Jackson St
Carbondale, IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 529-0449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209021758 (IL)

Record details

NPI number1871113696
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 22, 2020
Last updated in NPPESNovember 9, 2020
Certification dateNovember 9, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southeast Missouri Hospital Physicians Llc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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