DIANNE M. BLACK DNP
NPI 1023355765
Nurse Practitioner in Providence, RI
About Dianne M. Black Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANNE M. BLACK DNP (NPI 1023355765) is an individual nurse practitioner in Providence, Rhode Island, licensed in Rhode Island (NPP37734) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dianne M. Black Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Dianne Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Providence, RI 02905
- Reassigned Medicare billing, Rhode Island enrollment
- 112 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dianne Black's NPI number?
The NPI number for Dianne Black is 1023355765. It was assigned to this individual provider in the NPPES registry on January 15, 2013.
Where is Dianne Black located?
Dianne Black practices at 593 Eddy St Claverick 2, Providence, RI 02903. The listed phone number is (401) 444-4000.
What is Dianne Black's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Dianne Black enrolled in Medicare?
Yes. Dianne Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Dianne Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dianne Black reassigns Medicare benefits to The Providence Community Health Centers, Inc (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dianne Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dianne Black was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dianne M. Black, DNP · NPI 1023355765
Nurse Practitioner physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since January 15, 2013.
## Identity
- **NPI:** 1023355765 (Entity type: Individual)
- **Enumerated:** January 15, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** NPP37734 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 593 EDDY ST, CLAVERICK 2, Providence, RI 02903-4923
- **Phone:** (401) 444-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Providence Community Health Centers, Inc (NPI 1053313593, Providence, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1023355765) · Data from the CMS NPPES public registry.