Jennifer K Black

N.P. | Nurse Practitioner | 24+ years Exp

619 E Mason St, Suite 4p57, Springfield
  Illinois, 62701-1034
217-788-0706
Accepts Medicare Nurse Anesthetist in Springfield, Illinois.
Jennifer K Black is a Springfield, Illinois based nurse practitioner with 24 years of experience in . 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. 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 (NP)
Gender:Female
Credentials: N.P.
Experience: 24+ 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 NumberSpecializationStateStatus
209002373Adult Health IllinoisPrimary
209002373Internal Medicine IllinoisSecondary
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, ILAcute Care Hospital
(141332)Hillsboro, ILCritical Access Hospital
(140137)Greenville, ILAcute Care Hospital
(141350)Litchfield, ILCritical Access Hospital
(140148)Springfield, ILAcute 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.
IdentifierTypeStateIssuer
596500OtherIllinoisRAILROAD
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:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.