Jennifer K Black
N.P. | Nurse Practitioner | 25+ years Exp
619 E Mason St, Suite 4p57, Springfield
Illinois, 62701-1034
217-788-0706
Jennifer K Black is a Springfield, Illinois based nurse practitioner with 25 years of experience in Nurse Practitioner. She completed her graduation in 2000. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jennifer K Black is 209002373 for Adult Health in Illinois. Her current practice location is 619 E Mason St, Suite 4p57, Springfield. Patients can reach her at 217-788-0706 or can fax her at 217-525-2535. Jennifer K Black is N.P. with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1174607576.
Jennifer K Black has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jennifer K Black speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jennifer K Black |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | N.P. |
| Experience: | 25+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2000 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 619 E Mason St, Suite 4p57, Springfield,
Illinois, 62701-1034 |
| Phone: | 217-788-0706 |
| Fax: | 217-525-2535 |
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: | 2163444894 |
| Enrollment ID: | I20051222000251 |
| NPI Number: | 1174607576 |
| NPI Enumeration Date: | 24 Oct, 2006 |
| NPI Last Update On: | 20 Dec, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer K Black are as mentioned below.
| License Number | Specialization | State | Status | |
| 209002373 | Adult Health | Illinois | Primary | |
| 209002373 | Internal Medicine | Illinois | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (140053) | Springfield, IL | Acute Care Hospital |
| (141332) | Hillsboro, IL | Critical Access Hospital |
| (140137) | Greenville, IL | Acute Care Hospital |
| (141350) | Litchfield, IL | Critical Access Hospital |
| (140148) | Springfield, IL | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jennifer K Black is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Prairie Cardiovascular Consultants Ltd (3173435880) | 96 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jennifer K Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 596500 | Other | Illinois | RAILROAD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jennifer K Black
Po Box 19420,
Springfield, Illinois |
| Zip: | 62794-9420 |
| Phone Number: | 217-788-0706 |
| Fax Number: | 217-525-2535 |
Patients can reach Jennifer K Black at
619 E Mason St, Suite 4p57, Springfield, Illinois or can
call to book an appointment on 217-788-0706.
Comments/ Reviews:
Patients can read all the reviews posted for Jennifer K Black below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Jennifer K Black. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.