JULIE BLACK
NPI 1215326350
Skilled Nursing Facility - Nursing Care, Pediatric in Midland, MI
About Julie Black NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIE BLACK (NPI 1215326350) is an individual nursing care, pediatric provider in Midland, Michigan and active in the NPI registry since January 2015.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Julie Black is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Julie Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Canton, MI 48187
- Reassigned Medicare billing, Michigan enrollment
- 116 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIDLAND, MI 48640
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 Julie Black's NPI number?
The NPI number for Julie Black is 1215326350. It was assigned to this individual provider in the NPPES registry on January 13, 2015.
Where is Julie Black located?
Julie Black practices at 4900 Hedgewood Dr, Midland, MI 48640. The listed phone number is (989) 631-9670.
What is Julie Black's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.
Is Julie Black enrolled in Medicare?
Yes. Julie Black is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Julie Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Julie Black reassigns Medicare benefits to Fox Rehabilitation Services Mi LLC (Canton, MI). 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 Julie Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Julie Black was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Julie Black · NPI 1215326350
Nursing Care, Pediatric provider in Midland, Michigan. Individual provider, active in the CMS NPPES registry since January 13, 2015.
## Identity
- **NPI:** 1215326350 (Entity type: Individual)
- **Enumerated:** January 13, 2015
- **Primary specialty:** Skilled Nursing Facility - Nursing Care, Pediatric · taxonomy 3140N1450X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4900 HEDGEWOOD DR, Midland, MI 48640
- **Phone:** (989) 631-9670
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Fox Rehabilitation Services Mi LLC (NPI 1790324648, Canton, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215326350) · Data from the CMS NPPES public registry.