MRS. AMY L BLACK CNP
NPI 1033424148
Nurse Practitioner - Family in Logan, OH

Active since August 12, 2010PECOS EnrolledAccepts Medicare Assignment
30381 CHIEFTAIN DR, LOGAN, OH 43138(740) 385-2555(740) 380-3750 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2019, Mar 28, 2018 (2 updates tracked since 2018).

About Mrs. Amy L Black Cnp NPPES

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

MRS. AMY L BLACK CNP (NPI 1033424148) is an individual family provider in Logan, Ohio, licensed in Ohio (RN275748- COA1) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1033424148
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AMY L BLACKCredential: CNP
Location Address30381 CHIEFTAIN DRLogan, OH 43138-9092
Mailing AddressPo Box 188Chillicothe, OH 45601-0188 · (740) 773-4366 · Fax (740) 775-7855
Fax(740) 380-3750
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 12, 2010
Last NPPES UpdateNovember 4, 20192 updates tracked since enumeration
NPI 1033424148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · RN275748- COA1
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License NP-11608 (OH)
30381 CHIEFTAIN DR, Logan, OH 43138

Other Identifiers 1

Medicaid3124318OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Amy L Black Cnp 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.

PECOS PAC ID9739374802
PECOS Enrollment IDI20101115000819
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Hocking Valley Community Hospital

Critical Access Hospitals · Logan, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361330
Location601 State Route 664NLogan, OH 43138 · Hocking County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43138 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$69.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Licensed Practical Nurse
30381 CHIEFTAIN DR
LOGAN, OH 43138
Licensed Practical Nurse
30381 CHIEFTAIN DR
LOGAN, OH 43138
Dietitian, Registered
30381 CHIEFTAIN DR
LOGAN, OH 43138
Dietitian, Registered
30381 CHIEFTAIN DR
LOGAN, OH 43138
Counselor
30381 CHIEFTAIN DR
LOGAN, OH 43138
Pharmacist
30381 CHIEFTAIN DR
LOGAN, OH 43138
Technician (Attendant Care Provider)
30381 CHIEFTAIN DR
LOGAN, OH 43138
Pharmacy Technician
30381 CHIEFTAIN DR
LOGAN, OH 43138

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 Amy Black's NPI number?

The NPI number for Amy Black is 1033424148. It was assigned to this individual provider in the NPPES registry on August 12, 2010.

Where is Amy Black located?

Amy Black practices at 30381 Chieftain Dr, Logan, OH 43138. The listed phone number is (740) 385-2555.

What is Amy Black's specialty?

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

Is Amy Black enrolled in Medicare?

Yes. Amy 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.

What insurance does Amy Black accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Amy Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amy Black affiliated with any hospitals?

According to CMS data, Amy Black is affiliated with Fairfield Medical Center and Hocking Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Amy Black was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.