JODIE BLACK CRNP
NPI 1194227207
Nurse Practitioner - Family in Audubon, NJ
About Jodie Black Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODIE BLACK CRNP (NPI 1194227207) is an individual family provider in Audubon, New Jersey, licensed in New Jersey (26NJ00805900) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Inspira Medical Center Mullica Hill, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Jodie Black Crnp 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Inspira Medical Center Mullica Hill
Acute Care Hospitals · Mullica Hill, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jodie Black's NPI number?
The NPI number for Jodie Black is 1194227207. It was assigned to this individual provider in the NPPES registry on March 5, 2018.
Where is Jodie Black located?
Jodie Black practices at 100 Black Horse Pike, Audubon, NJ 08106. The listed phone number is (844) 542-2273.
What is Jodie Black's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jodie Black enrolled in Medicare?
Yes. Jodie 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.
Is Jodie Black affiliated with any hospitals?
According to CMS data, Jodie Black is affiliated with Inspira Medical Center Mullica Hill.
When was this NPI record last updated?
The NPPES record for Jodie Black was last updated on March 4, 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.
# Jodie Black, CRNP · NPI 1194227207
Family physician in Audubon, New Jersey. Individual provider, active in the CMS NPPES registry since March 5, 2018.
## Identity
- **NPI:** 1194227207 (Entity type: Individual)
- **Enumerated:** March 5, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ00805900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 BLACK HORSE PIKE, Audubon, NJ 08106-1950
- **Phone:** (844) 542-2273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194227207) · Data from the CMS NPPES public registry.