LATISHA BLACK APRN
NPI 1033662242
Nurse Practitioner - Gerontology in Omaha, NE

Q: What is Latisha Black's NPI number?

The NPI number for Latisha Black is 1033662242. It was assigned to this individual provider in the NPPES registry on July 25, 2016. The provider is also known as Latisha Black Nurse Practitioner.

Q: What is Latisha Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Latisha Black was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 25, 2016PECOS Enrolled

810 N 107TH AVE APT 301, OMAHA, NE 68114(402) 612-1856 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Latisha Black Aprn NPPES

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

LATISHA BLACK APRN (NPI 1033662242) is an individual gerontology provider in Omaha, Nebraska, licensed in Nebraska (112100) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1033662242

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameLATISHA BLACKCredential: APRN

Location Address810 N 107TH AVE APT 301Omaha, NE 68114-2042

Mailing Address810 N 107th Ave Apt 301Omaha, NE 68114-2042 · (402) 612-1856

Phone(402) 612-1856

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 25, 2016

Last NPPES UpdateNovember 13, 2025

NPPES CertifiedNovember 13, 2025

✔ NPI 1033662242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Licenses✔ Licensed in NE · 112100✔ Licensed in IA · H156127

Also ListedRegistered NurseTaxonomy 163W00000X · License 56246 (NE)

810 N 107TH AVE APT 301, Omaha, NE 68114

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Other Names 1

Professional Name (2)Latisha Black Nurse Practitioner

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latisha Black Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375034200

PECOS Enrollment IDI20251118003167, I20260114003334

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 68114 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

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.

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 Latisha Black's NPI number?

The NPI number for Latisha Black is 1033662242. It was assigned to this individual provider in the NPPES registry on July 25, 2016. The provider is also known as Latisha Black Nurse Practitioner.

Where is Latisha Black located?

Latisha Black practices at 810 N 107th Ave Apt 301, Omaha, NE 68114. The listed phone number is (402) 612-1856.

What is Latisha Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Latisha Black enrolled in Medicare?

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

What insurance does Latisha Black accept?

Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Latisha 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.

When was this NPI record last updated?

The NPPES record for Latisha Black was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.