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EMALEE GRACE BLACK
NPI 1083561070
Nurse Practitioner - Psychiatric/Mental Health in Medina, OH

Active since March 11, 2026PECOS Enrolled
1065 WADSWORTH RD, MEDINA, OH 44256(330) 242-6185 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emalee Grace Black NPPES

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

EMALEE GRACE BLACK (NPI 1083561070) is an individual psychiatric/mental health provider in Medina, Ohio, licensed in Ohio (APRN.CNP.0041714) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1083561070
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEMALEE GRACE BLACK
Location Address1065 WADSWORTH RDMedina, OH 44256-3214
Mailing Address1065 Wadsworth RdMedina, OH 44256-3214 · (330) 242-6185
Phone(330) 242-6185
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1083561070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0041714
1065 WADSWORTH RD, Medina, OH 44256
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2668942582
PECOS Enrollment IDI20260601002233
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 44256 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.

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 Emalee Black's NPI number?

The NPI number for Emalee Black is 1083561070. It was assigned to this individual provider in the NPPES registry on March 11, 2026.

Where is Emalee Black located?

Emalee Black practices at 1065 Wadsworth Rd, Medina, OH 44256. The listed phone number is (330) 242-6185.

What is Emalee Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Emalee Black enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Emalee Black was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.