Summer R Black

CRNA | Nurse Anesthetist | 5+ years Exp

405 W Jackson St, Carbondale
  Illinois, 62901-1462
618-549-0721
Accepts Medicare Nurse Anesthetist in Carbondale, Illinois.
Summer R Black is a Carbondale, Illinois based nurse anesthetist with 5 years of experience as Anesthesia Administration. She completed she graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Summer R Black is 209021758 for Anesthesia Administration in Illinois. Her current practice location is 405 W Jackson St, Carbondale. Patients can reach her at 618-549-0721 or can fax her at 618-529-0449. Summer R Black is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1871113696.
Summer R Black is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.

Complete Profile:
Summer R Black speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Anesthesia Administration
Credentials: CRNA
Experience: 5+ years
Medical School Attended:Other
Graduation Year:2020
Gender:Female
Accepts Medicare Assignment:Yes
Practice Address:405 W Jackson St, Carbondale,
Illinois, 62901-1462
Phone:618-549-0721
Fax:618-529-0449
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 8527486612
Enrollment ID: I20210603002007
NPI Number: 1871113696
NPI Enumeration Date: 22 Apr, 2020
NPI Last Update On: 09 Nov, 2020

Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Summer R Black are as mentioned below.
License NumberSpecializationStateStatus
209021758Anesthesia Administration IllinoisPrimary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Southeasthealth (260110)Cape girardeau, MOAcute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Summer R Black has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Southeast Missouri Hospital Physicians Llc (9133024334)170
Other Medical Identifiers:
Other legacy medical identifiers associated with Summer R Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
214881OtherIllinoisGROUP PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 405 W Jackson St,
Carbondale, Illinois
Zip: 62901-1462
Phone Number: 618-549-0721
Fax Number: 618-529-0449
Patients can reach Summer R Black at 405 W Jackson St, Carbondale, Illinois or can call to book an appointment on 618-549-0721.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.