Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SUZANNE M BLACK
NPI 1033030325
Nurse Practitioner - Family in Edgewood, KY

Active since July 22, 2026PECOS Enrolled
830 THOMAS MORE PKWY STE 202, EDGEWOOD, KY 41017(859) 341-6281(859) 341-4661 Get Directions Write a Review

NPPES record added: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Suzanne M Black NPPES

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

SUZANNE M BLACK (NPI 1033030325) is an individual family provider in Edgewood, Kentucky, licensed in Kentucky (4061501) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033030325
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUZANNE M BLACK
Location Address830 THOMAS MORE PKWY STE 202Edgewood, KY 41017-5103
Mailing Address2123 Auburn Ave Ste 404Cincinnati, OH 45219-2906 · (513) 241-5630 · Fax (513) 241-7146
Fax(859) 341-4661
Sole ProprietorNo
Enumeration DateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
NPI 1033030325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 4061501
830 THOMAS MORE PKWY STE 202, Edgewood, KY 41017

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Suzanne M Black 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 41017 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
830 THOMAS MORE PKWY STE 202
EDGEWOOD, KY 41017
Internal Medicine (Nephrology)
830 THOMAS MORE PKWY STE 202
EDGEWOOD, KY 41017
Nurse Practitioner (Acute Care)
830 THOMAS MORE PKWY STE 202
EDGEWOOD, KY 41017
Internal Medicine (Nephrology)
830 THOMAS MORE PKWY STE 202
EDGEWOOD, KY 41017
Internal Medicine (Nephrology)
830 THOMAS MORE PKWY STE 202
FT MITCHELL, KY 41017

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 Suzanne Black's NPI number?

The NPI number for Suzanne Black is 1033030325. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Where is Suzanne Black located?

Suzanne Black practices at 830 Thomas More Pkwy Ste 202, Edgewood, KY 41017. The listed phone number is (859) 341-6281.

What is Suzanne Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Suzanne Black enrolled in Medicare?

Yes. Suzanne Black is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Suzanne Black was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.