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: August 02, 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
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

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

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.

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.

Pharmacist
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Nurse Practitioner (Family)
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Pharmacist
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Pharmacy
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Pharmacist
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Pharmacist
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Nurse Practitioner (Family)
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123
Nurse Practitioner (Family)
2565 LONDON GROVEPORT RD
GROVE CITY, OH 43123

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.

What insurance does Katie Black accept?

Health plans from CareSource 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 4 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.