CASEY R. BLACK NP - NPI 1003151028 - Nurse Practitioner in Stockbridge, GA

Q: What is Casey Black's NPI number?

The NPI number for Casey Black is 1003151028. It was assigned to this individual provider in the NPPES registry on December 3, 2012.

Q: What is Casey Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Casey Black was last updated on May 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Casey R. Black Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASEY R. BLACK NP (NPI 1003151028) is an individual nurse practitioner in Stockbridge, Georgia, licensed in Georgia (RN146749) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003151028

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCASEY R. BLACKCredential: NP

Location Address125 EAGLE SPRING DRStockbridge, GA 30281-6328

Mailing Address125 Eagle Spring DrStockbridge, GA 30281-6328 · (770) 213-3366 · Fax (404) 962-6943

Phone(770) 213-3366

Fax(404) 962-6943

Sole ProprietorNo

Enumeration DateDecember 3, 2012

Last NPPES UpdateMay 10, 2017

✔ NPI 1003151028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN146749

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

125 EAGLE SPRING DR, Stockbridge, GA 30281

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Other Identifiers 1

Medicare PIN202I501861GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Casey R. Black Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.