KENDRA SCHERRIE BLACKEAGLE CRNA
NPI 1801177621
Nurse Anesthetist, Certified Registered in Concord, NC
NPI Status: Active since September 07, 2011
Contact Information
920 CHURCH ST N
CONCORD, NC
ZIP 28025
Phone: (704) 403-2715
Fax: (704) 699-2453
- Individual
- Female
- Years of Experience 20
- Nurse Anesthetist, Certified Registered
- Accepts Medicare Approved Payment
- Medicare Quality Reporting
About KENDRA BLACKEAGLE
This page provides the complete NPI Profile along with additional information for Kendra Blackeagle, a provider established in Concord, North Carolina with a medical specialization in Nurse Anesthetist, Certified Registered and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1801177621 assigned on September 2011. The practitioner's primary taxonomy code is 367500000X with license number 6506 (NC). The provider is registered as an individual and her NPI record was last updated April 2025.
- NPI
- 1801177621
- Provider Name
- KENDRA SCHERRIE BLACKEAGLE CRNA
- Other Name
- KENDRA S. WILKES
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 920 CHURCH ST N CONCORD, NC 28025
- Location Phone
- (704) 403-2715
- Location Fax
- (704) 699-2453
- Mailing Address
- 920 CHURCH ST N CONCORD, NC 28025
- Mailing Phone
- (704) 403-2715
- Mailing Fax
- (704) 699-2453
- Medical School Name
- OTHER
- Graduation Year
- 2006
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-07-2011
- Last Update Date
- 04-25-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 6506
- License State
- NC
- Taxonomy Description
- (1) A licensed 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. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 4704287475 (MI) |
| 2 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 328087 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1801177621 | OTHER (01) | NC | INDIVIDUAL |
| 4704287475 | OTHER (01) | MI | MI LICENSE |
Medicare Participation & PECOS Enrollment Status
Kendra Blackeagle is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 2769653625
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20201202000989
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 100% | 1828 |
| Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized | ||
| Pre-operative OSA assessment | 100% | 1830 |
| Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA) | ||
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | Yes | N/A |
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kendra Blackeagle is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| CAROLINAS MEDICAL CENTER-NORTHEAST | 920 CHURCH ST N CONCORD, NC 28025 | (704) 783-3000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 0 | 1 | 1 | 7 | 7 | 6 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 2 | 7 | 14 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 2 + 7 + 1 + 4 + 6 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1801177621 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093711525 | CABARRUS MEMORIAL HOSPITAL Organization | General Acute Care Hospital | 920 CHURCH ST N CONCORD, NC 28025 (704) 783-3000 |
| 1952387227 | MARK D. ANTOSZYK CRNA Individual | Nurse Anesthetist, Certified Registered | 920 CHURCH ST N CONCORD, NC 28025 (704) 783-1689 |
| 1255317269 | JACQUELYNN SUSAN MCGUINNESS ARNP Individual | Nurse Practitioner (Neonatal) | 920 CHURCH ST N CONCORD, NC 28025 (704) 403-3000 |
| 1154309094 | TARA L CHRONISTER MD Individual | Anesthesiology | 920 CHURCH ST N CONCORD, NC 28025 (704) 783-3426 |
| 1740241801 | CAROLINAS MEDICAL CENTER-NORTHEAST Organization | Internal Medicine | 920 CHURCH ST N NORTHEAST PHYSICIAN NETWORK CONCORD, NC 28025 (704) 403-1780 |
| 1023055977 | MARK S DERMER MD Individual | Obstetrics & Gynecology | 920 CHURCH ST N NE OB/GYN HOSPITALIST SERVICES CONCORD, NC 28025 (704) 403-1632 |
| 1649219726 | CMC-NORTHEAST, INC. Organization | Hospitalist | 920 CHURCH ST N NORTHEAST INPATIENT SERVICES CONCORD, NC 28025 (704) 403-1331 |
| 1447299524 | CMC-NORTHEAST, INC. Organization | Pediatrics (Pediatric Critical Care Medicine) | 920 CHURCH ST N NORTHEAST PEDIATRIC INTENSIVISTS CONCORD, NC 28025 (704) 403-3040 |
| 1578502647 | CMC-NORTHEAST, INC. Organization | Internal Medicine (Critical Care Medicine) | 920 CHURCH ST N NORTHEAST CRITICAL CARE ASSOC CONCORD, NC 28025 (704) 403-1311 |
| 1578589222 | MS. SHERRY D ABERNETHY CRNA Individual | Nurse Anesthetist, Certified Registered | 920 CHURCH ST N CONCORD, NC 28025 (704) 783-1689 |
| 1689691016 | MS. LUCI L. NEW CRNA Individual | Nurse Anesthetist, Certified Registered | 920 CHURCH ST N CONCORD, NC 28025 (704) 783-4235 |
| 1124046586 | JANET PATTY CRNA Individual | Nurse Anesthetist, Certified Registered | 920 CHURCH ST N CONCORD, NC 28025 (704) 783-4235 |
| 1285653188 | DONNA W WALL CRNA Individual | Nurse Anesthetist, Certified Registered | 920 CHURCH ST N CONCORD, NC 28025 (704) 783-4235 |
| 1740200302 | MRS. REBECCA MCCALL C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 920 CHURCH ST N CONCORD, NC 28025 (704) 783-3000 |
| 1699794545 | JAMES RALPH APPLETON CRNA Individual | Nurse Anesthetist, Certified Registered | 920 CHURCH ST N CONCORD, NC 28025 (704) 783-4235 |
| 1124047824 | VIRGINIA NORRIS ROGERS CRNA Individual | Nurse Anesthetist, Certified Registered | 920 CHURCH ST N CONCORD, NC 28025 (704) 783-4235 |
| 1871513515 | MRS. EILEEN H. HINSON CRNA Individual | Nurse Anesthetist, Certified Registered | 920 CHURCH ST N CONCORD, NC 28025 (704) 783-3000 |
| 1104846401 | MR. MICHAEL T ROBERTS CRNA Individual | Nurse Anesthetist, Certified Registered | 920 CHURCH ST N CONCORD, NC 28025 (704) 783-1622 |
| 1346261773 | SARAH JANE SHARP PRICHARD CRNA Individual | Nurse Anesthetist, Certified Registered | 920 CHURCH ST N CONCORD, NC 28025 (704) 783-4235 |
| 1427070317 | DAISHA DOBBINS CRNA Individual | Nurse Anesthetist, Certified Registered | 920 CHURCH ST N CONCORD, NC 28025 (704) 783-4235 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801177621, enumerated in the NPI registry as an "individual" on September 07, 2011
The provider is located at 920 Church St N Concord, Nc 28025 and the phone number is (704) 403-2715
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider has more than 20 years of experience.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The practitioner is affiliated to the following hospital(s): CAROLINAS MEDICAL CENTER-NORTHEAST. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on September 07, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.