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SOUSAN YAZDI BLACK APRN
NPI 1144632217
Nurse Practitioner - Family in Gainesville, FL

Active since May 23, 2014PECOS Enrolled
6420 W NEWBERRY RD STE 100, GAINESVILLE, FL 32605(352) 332-3900(352) 332-5009 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sousan Yazdi Black Aprn NPPES

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

SOUSAN YAZDI BLACK APRN (NPI 1144632217) is an individual family provider in Gainesville, Florida, licensed in Florida (APRN9293083) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1144632217
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOUSAN YAZDI BLACKCredential: APRN
Location Address6420 W NEWBERRY RD STE 100Gainesville, FL 32605-6622
Mailing AddressPo Box 102222Atlanta, GA 30368-2222 · (239) 274-8200
Phone(352) 332-3900
Fax(352) 332-5009
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 23, 2014
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1144632217 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 FL · APRN9293083
6420 W NEWBERRY RD STE 100, Gainesville, FL 32605
Open in Google Maps ↗

Other Names 1

Former Name (1)Sousan Akhavan Yazdi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sousan Yazdi Black Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517186588
PECOS Enrollment IDI20140924001643
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 Reassignment

Medicare enrollment records show Sousan Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Cancer Specialists & Research Institute, LLC
215 mi
Medical Oncology
1708 CAPE CORAL PKWY W, #10
Cape Coral, FL 33914
  • Reassigned Medicare billing, Florida enrollment
  • 880 clinicians in this Medicare group
NPI 1760590962 (239) 541-4633

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 32605 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 13

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

CARLA VEGA BLOUIN LCSW
Social Worker (Clinical)
6420 W NEWBERRY RD STE 100
GAINESVILLE, FL 32605
Alachua County (352) 332-3900
VICTORIA BROWN M.D.
Internal Medicine (Hematology & Oncology)
6420 W NEWBERRY RD STE 100
GAINESVILLE, FL 32605
Alachua County (352) 332-3900
JESSICA SMITH APRN
Nurse Practitioner (Family)
6420 W NEWBERRY RD STE 100
GAINESVILLE, FL 32605
Alachua County (352) 332-3900
MR. DALE ASHBY ELZIE LCSW
Social Worker (Clinical)
6420 W NEWBERRY RD STE 100
GAINESVILLE, FL 32605
Alachua County (352) 332-3900
TEALE ANDREASON SYKES PA-C
Physician Assistant
6420 W NEWBERRY RD STE 100
GAINESVILLE, FL 32605
Alachua County (352) 332-3900
ERIN LOCKER BOYD PA-C
Physician Assistant (Medical)
6420 W NEWBERRY RD STE 100
GAINESVILLE, FL 32605
Alachua County (352) 332-3900
MS. KERI L BOURDAGE PA-C
Physician Assistant
6420 W NEWBERRY RD STE 100
GAINESVILLE, FL 32605
Alachua County (352) 332-3900
HAILEE MICHELLE SMITH PA-C
Physician Assistant
6420 W NEWBERRY RD STE 100
GAINESVILLE, FL 32605
Alachua County (352) 332-3900

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 Sousan Black's NPI number?

The NPI number for Sousan Black is 1144632217. It was assigned to this individual provider in the NPPES registry on May 23, 2014. The provider is also known as Sousan Akhavan Yazdi.

Where is Sousan Black located?

Sousan Black practices at 6420 W Newberry Rd Ste 100, Gainesville, FL 32605. The listed phone number is (352) 332-3900.

What is Sousan Black's specialty?

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

Is Sousan Black enrolled in Medicare?

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

Which organization bills Medicare for Sousan Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sousan Black reassigns Medicare benefits to Florida Cancer Specialists & Research Institute, LLC (Cape Coral, FL). The 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 Sousan Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sousan Black accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Sousan 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 Sousan Black was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.