1. Home
  2. Directory
  3. Ohio
  4. Grove City
  5. Nurse Practitioner
  6. NPI Profile

KATIE BLACK
NPI 1073164588
Nurse Practitioner - Family in Grove City, OH

Active since September 25, 2019PECOS EnrolledAccepts Medicare Assignment
90.31/100
CMS Quality Rating
2565 LONDON GROVEPORT RD, GROVE CITY, OH 43123(614) 277-2921 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2021, Sep 25, 2019 (2 updates tracked since 2019).

About Katie Black NPPES

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

KATIE BLACK (NPI 1073164588) is an individual family provider in Grove City, Ohio, licensed in Ohio (APRN.CNP.024918) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2019).

NPPES Registry Identity

NPI1073164588
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATIE BLACK
Location Address2565 LONDON GROVEPORT RDGrove City, OH 43123-9035
Mailing Address2565 London Groveport RdGrove City, OH 43123-9035
Phone(614) 277-2921
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2019
Enumeration DateSeptember 25, 2019
Last NPPES UpdateSeptember 24, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
✔ NPI 1073164588 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 OH · APRN.CNP.024918
2565 LONDON GROVEPORT RD, Grove City, OH 43123
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare), Oscar Health Insurance.Insurance ›

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

Katie Black 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 ID6608209655
PECOS Enrollment IDI20191204002135
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katie Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minuteclinic Diagnostic Of Ohio LLC
12 mi
Family
4961 ROBERTS RD
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 246 clinicians in this Medicare group
NPI 1699747303 (866) 389-2727
Minuteclinic Primary Care Ohio LLC
12 mi
Family
4961 ROBERTS RD
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 172 clinicians in this Medicare group
NPI 1285441766 (866) 389-2727

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 43123 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.

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.

90.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.38
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 11

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

CHASE REED
Pharmacist
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Franklin County (614) 277-2921
KATELYN NOBLE
Nurse Practitioner (Family)
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Franklin County (866) 389-2727
TODD THOMPSON PHARMACIST
Pharmacist
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Franklin County (614) 277-2921
OHIO CVS STORES LLC
Pharmacy
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Franklin County (614) 277-2921
DAVID EDWARD BRIGGEMAN
Pharmacist
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Franklin County (614) 277-2921
DR. KARIE CUMMINS PHARMD
Pharmacist
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Franklin County (614) 277-2921
MS. KENDRA LEE JOHNSON COA.16059-NP
Nurse Practitioner (Family)
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Franklin County (866) 389-2727
MADELINE MONTGOMERY FNP-C
Nurse Practitioner (Family)
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Franklin County (866) 389-2727

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 Katie Black's NPI number?

The NPI number for Katie Black is 1073164588. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Katie Black located?

Katie Black practices at 2565 London Groveport Rd, Grove City, OH 43123. The listed phone number is (614) 277-2921.

What is Katie Black's specialty?

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

Is Katie Black enrolled in Medicare?

Yes. Katie 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 organizations bill Medicare for Katie Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Black reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Of Ohio LLC (Hilliard, OH) and Minuteclinic Primary Care Ohio LLC (Hilliard, OH). Each 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 Katie Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Black accept?

Health plans from CareSource, CareSource (Common Ground Healthcare) and Oscar Health Insurance list Katie 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 Katie Black was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.