KIMBERLY LUCILLE BLACK PMHNP
NPI 1255878989
Nurse Practitioner - Psychiatric/Mental Health in Monett, MO
About Kimberly Lucille Black Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY LUCILLE BLACK PMHNP (NPI 1255878989) is an individual psychiatric/mental health provider in Monett, Missouri, licensed in Missouri (2017004149) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberly Lucille Black Pmhnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monett, MO 65708
- Reassigned Medicare billing, Missouri enrollment
- 66 clinicians in this Medicare group
Monett, MO 65708
- Reassigned Medicare billing, Missouri enrollment
- 41 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65708 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 19
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 Kimberly Black's NPI number?
The NPI number for Kimberly Black is 1255878989. It was assigned to this individual provider in the NPPES registry on January 19, 2017.
Where is Kimberly Black located?
Kimberly Black practices at 411 3rd St, Monett, MO 65708. The listed phone number is (417) 476-1000.
What is Kimberly Black's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kimberly Black enrolled in Medicare?
Yes. Kimberly 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.
Which organizations bill Medicare for Kimberly Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Black reassigns Medicare benefits to 2 organizations: Ozark Tri-County Health Care Consortium (Monett, MO) and Clark Community Mental Health Center (Monett, MO). Each 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 Kimberly Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Black accept?
Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and UnitedHealthcare list Kimberly 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 Kimberly Black was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kimberly Lucille Black, PMHNP · NPI 1255878989
Psychiatric/Mental Health physician in Monett, Missouri. Individual provider, active in the CMS NPPES registry since January 19, 2017.
## Identity
- **NPI:** 1255878989 (Entity type: Individual)
- **Enumerated:** January 19, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2017004149 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 411 3RD ST, Monett, MO 65708-2008
- **Phone:** (417) 476-1000 · **Fax:** (417) 476-1082
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ozark Tri-County Health Care Consortium (NPI 1801594429, Monett, MO); Clark Community Mental Health Center (NPI 1801807771, Monett, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 28, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1255878989) · Data from the CMS NPPES public registry.