ELIZABETH BLACK NP
NPI 1205194875
Nurse Practitioner - Acute Care in Indianapolis, IN

Q: What is Elizabeth Black's NPI number?

The NPI number for Elizabeth Black is 1205194875. It was assigned to this individual provider in the NPPES registry on May 2, 2012.

Q: What is Elizabeth Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Black was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 May 02, 2012PECOS EnrolledAccepts Medicare Assignment

8920 SOUTHPOINTE DR STE B, INDIANAPOLIS, IN 46227(317) 497-1900(317) 497-1919 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Elizabeth Black Np NPPES

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

ELIZABETH BLACK NP (NPI 1205194875) is an individual acute care provider in Indianapolis, Indiana, licensed in Indiana (71003918A) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Community Hospital South, Inc., and is a graduate of Other (2011).

NPPES Registry Identity

NPI1205194875

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameELIZABETH BLACKCredential: NP

Location Address8920 SOUTHPOINTE DR STE BIndianapolis, IN 46227-7505

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890

Phone(317) 497-1900

Fax(317) 497-1919

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMay 2, 2012

Last NPPES UpdateApril 21, 2025

NPPES CertifiedApril 21, 2025

✔ NPI 1205194875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in IN · 71003918A

8920 SOUTHPOINTE DR STE B, Indianapolis, IN 46227

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Other Identifiers 1

Other71003918AIN · Rn License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Elizabeth Black Np 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 ID9133645203

PECOS Enrollment IDI20250501001431

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.

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150128

Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46227 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 7

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

DR. PHUMEZA MSIKINYA MD

Family Medicine