AUSTIN HARBOR BLACK FNP-BC
NPI 1245017052
Nurse Practitioner - Family in Mantachie, MS

Active since September 13, 2023PECOS EnrolledAccepts Medicare Assignment
5681 HIGHWAY 363, MANTACHIE, MS 38855(662) 282-4226 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Austin Harbor Black Fnp-bc NPPES

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

AUSTIN HARBOR BLACK FNP-BC (NPI 1245017052) is an individual family provider in Mantachie, Mississippi, licensed in Mississippi (906272) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245017052
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameAUSTIN HARBOR BLACKCredential: FNP-BC
Location Address5681 HIGHWAY 363Mantachie, MS 38855-7632
Mailing AddressPo Box 40Mantachie, MS 38855-0040 · (662) 282-4226
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
NPI 1245017052 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 MS · 906272
5681 HIGHWAY 363, Mantachie, MS 38855

Accepted 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

Austin Harbor Black Fnp-bc 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 ID941740070
PECOS Enrollment IDI20241104000058
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38855 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 5

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

Family Medicine
5681 HIGHWAY 363
MANTACHIE, MS 38855
Nurse Practitioner (Family)
5681 HIGHWAY 363
MANTACHIE, MS 38855
Nurse Practitioner (Family)
5681 HIGHWAY 363
MANTACHIE, MS 38855
Clinic/Center (Federally Qualified Health Center (FQHC))
5681 HIGHWAY 363
MANTACHIE, MS 38855
Preventive Medicine (Public Health & General Preventive Medicine)
5681 HIGHWAY 363
MANTACHIE, MS 38855

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 Austin Black's NPI number?

The NPI number for Austin Black is 1245017052. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Where is Austin Black located?

Austin Black practices at 5681 Highway 363, Mantachie, MS 38855. The listed phone number is (662) 282-4226.

What is Austin Black's specialty?

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

Is Austin Black enrolled in Medicare?

Yes. Austin 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.

What insurance does Austin Black accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Austin 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 Austin Black was last updated on September 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.