MRS. KATHERINE BLACK PA-C
NPI 1104406743
Physician Assistant in Scottsdale, AZ

Q: What is Katherine Black's NPI number?

The NPI number for Katherine Black is 1104406743. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Q: What is Katherine Black's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Black was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment

3099 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251(480) 945-3535 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Katherine Black Pa-c NPPES

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

MRS. KATHERINE BLACK PA-C (NPI 1104406743) is an individual physician assistant in Scottsdale, Arizona and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Round Rock Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104406743

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. KATHERINE BLACKCredential: PA-C

Location Address3099 N CIVIC CENTER PLZScottsdale, AZ 85251-6903

Mailing Address3099 N Civic Center PlzScottsdale, AZ 85251-6903 · (480) 945-3535

Phone(480) 945-3535

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 8, 2021

Last NPPES UpdateFebruary 25, 2026

NPPES CertifiedFebruary 25, 2026

✔ NPI 1104406743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3099 N CIVIC CENTER PLZ, Scottsdale, AZ 85251

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mrs. Katherine Black Pa-c 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 ID9830597848

PECOS Enrollment IDI20220824002322

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450718

Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85251 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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 11

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

KRUPA PATEL DNP, FNP-C, AG-ACNP

Nurse Practitioner (Acute Care)