JENNIFER LYNN BLACK-WAERIG CRNP
NPI 1043662497
Nurse Practitioner in Philadelphia, PA
About Jennifer Lynn Black-waerig Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER LYNN BLACK-WAERIG CRNP (NPI 1043662497) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP016200) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Lynn Black-waerig Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Black-waerig reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19134
- Reassigned Medicare billing, Pennsylvania and New Jersey enrollments
- Also billed through NPI 1972299741 (New Jersey)
- 479 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 19134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
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 Jennifer Black-waerig's NPI number?
The NPI number for Jennifer Black-waerig is 1043662497. It was assigned to this individual provider in the NPPES registry on July 11, 2016.
Where is Jennifer Black-waerig located?
Jennifer Black-waerig practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5000.
What is Jennifer Black-waerig's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jennifer Black-waerig enrolled in Medicare?
Yes. Jennifer Black-waerig is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Black-waerig's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Black-waerig reassigns Medicare benefits to Stc Pediatrics LLC (Philadelphia, PA). 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 Jennifer Black-waerig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Black-waerig accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jennifer Black-waerig 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 Jennifer Black-waerig was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jennifer Lynn Black-Waerig, CRNP · NPI 1043662497
Nurse Practitioner physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 11, 2016.
## Identity
- **NPI:** 1043662497 (Entity type: Individual)
- **Enumerated:** July 11, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP016200 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 E ERIE AVE, Philadelphia, PA 19134-1011
- **Phone:** (215) 427-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Stc Pediatrics LLC (NPI 1346884574, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1043662497) · Data from the CMS NPPES public registry.