RENATA VICTORA BLACK FNP
NPI 1083272546
Nurse Practitioner - Family in Richardson, TX

Active since May 30, 2019PECOS EnrolledAccepts Medicare Assignment
2011 N COLLINS BLVD STE 607, RICHARDSON, TX 75080(800) 640-3451 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renata Victora Black Fnp NPPES

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

RENATA VICTORA BLACK FNP (NPI 1083272546) is an individual family provider in Richardson, Texas, licensed in Texas (AP141722) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1083272546
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRENATA VICTORA BLACKCredential: FNP
Location Address2011 N COLLINS BLVD STE 607Richardson, TX 75080-2636
Mailing Address3301 Matlock RdArlington, TX 76015-2908 · (682) 509-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 30, 2019
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
NPI 1083272546 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 TX · AP141722
2011 N COLLINS BLVD STE 607, Richardson, TX 75080

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

Renata Victora Black Fnp 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 ID7214336254
PECOS Enrollment IDI20210525001867
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Membrane graft or membrane wrap, per square centimeter Q4205
A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.
526 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
159 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
138 services26 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
55 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
37 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75080 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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.

Nurse Practitioner (Family)
2011 N COLLINS BLVD STE 607
RICHARDSON, TX 75080
Nurse Practitioner (Family)
2011 N COLLINS BLVD STE 607
RICHARDSON, TX 75080
Nurse Practitioner
2011 N COLLINS BLVD STE 607
RICHARDSON, TX 75080
Nurse Practitioner (Family)
2011 N COLLINS BLVD STE 607
RICHARDSON, TX 75080
Technician (Personal Care Attendant)
2011 N COLLINS BLVD STE 607
RICHARDSON, TX 75080
Nurse Practitioner
2011 N COLLINS BLVD STE 607
RICHARDSON, TX 75080
Nurse Practitioner
2011 N COLLINS BLVD STE 607
RICHARDSON, TX 75080
Family Medicine
2011 N COLLINS BLVD STE 607
RICHARDSON, TX 75080

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 Renata Black's NPI number?

The NPI number for Renata Black is 1083272546. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Renata Black located?

Renata Black practices at 2011 N Collins Blvd Ste 607, Richardson, TX 75080. The listed phone number is (800) 640-3451.

What is Renata Black's specialty?

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

Is Renata Black enrolled in Medicare?

Yes. Renata 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 Renata Black accept?

Health plans from Blue Cross and Blue Shield of Texas list Renata 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 Renata Black was last updated on February 14, 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.