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BLACK ROCK INTEGRATIVE MEDICINE
NPI 1285102764
Clinic/Center - Multi-Specialty in Hagerstown, MD

Active since November 02, 2018
120 N POTOMAC ST, HAGERSTOWN, MD 21740(301) 790-4938(301) 850-2135 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2024, Nov 2, 2018 (2 updates tracked since 2018).

About Black Rock Integrative Medicine NPPES

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

BLACK ROCK INTEGRATIVE MEDICINE (NPI 1285102764) is a healthcare organization registered as a multi-specialty in Hagerstown, Maryland and active in the NPI registry since November 2018. The organization lists Sheri Denham, Nurse Practitioner/ Owner, as its authorized official.

NPPES Registry Identity

NPI1285102764
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBLACK ROCK INTEGRATIVE MEDICINE
Location Address120 N POTOMAC STHagerstown, MD 21740-4810
Mailing Address20615 Woodbridge DrHagerstown, MD 21742-3188 · (301) 790-4938 · Fax (301) 850-2135
Phone(301) 790-4938
Fax(301) 850-2135
Organization SubpartNo
Authorized OfficialSheri DenhamNurse Practitioner/ Owner · (301) 790-4938
Enumeration DateNovember 2, 2018
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1285102764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
120 N POTOMAC ST, Hagerstown, MD 21740
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Black Rock Integrative Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Black Rock Integrative Medicine, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Stephanie Byers, PMHNP-BC
Nurse Practitioner
NPI 1710720875
120 N POTOMAC ST
Hagerstown, MD 21740
(301) 790-4938
✔ PECOS✔ Accepts MedicareSame address
Alison Cleary, NP-C
Nurse Practitioner
NPI 1083413561
120 N POTOMAC ST
Hagerstown, MD 21740
(301) 790-4938
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Ewart
Nurse Practitioner
NPI 1548137797
120 N POTOMAC ST
Hagerstown, MD 21740
(301) 790-4938
✔ PECOSSame address
Emma Peake, FNP
Nurse Practitioner
NPI 1649015058
120 N POTOMAC ST
Hagerstown, MD 21740
(301) 790-4938
✔ PECOS✔ Accepts MedicareSame address
Jami Wilson, RN
Nurse Practitioner
NPI 1962292557
120 N POTOMAC ST
Hagerstown, MD 21740
(301) 790-4938
✔ PECOS✔ Accepts MedicareSame address
Kelly Small
Nurse Practitioner
NPI 1063198810
120 N POTOMAC ST
Hagerstown, MD 21740
(301) 790-4938
✔ PECOS✔ Accepts MedicareSame address
Tracey Higgins, FNP-C
Nurse Practitioner
NPI 1437882511
24 N WALNUT ST STE 100
Hagerstown, MD 21740
(240) 452-3400
✔ PECOS✔ Accepts Medicare0.3 mi
Sheri Denham, CRNP-BC
Nurse Practitioner
NPI 1295279214
11110 MEDICAL CAMPUS RD
Hagerstown, MD 21742
(301) 714-4444
✔ PECOS✔ Accepts Medicare2.5 mi
Carmen Howe, CRNP
Nurse Practitioner
NPI 1689328395
19322 BURNSIDE BRIDGE RD
Keedysville, MD 21756
(240) 310-0614
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Black Rock Integrative Medicine's NPI number?

The NPI number for Black Rock Integrative Medicine is 1285102764. It was assigned to this organization in the NPPES registry on November 2, 2018.

Where is Black Rock Integrative Medicine located?

Black Rock Integrative Medicine is located at 120 N Potomac St, Hagerstown, MD 21740. The listed phone number is (301) 790-4938.

What is Black Rock Integrative Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Black Rock Integrative Medicine enrolled in Medicare?

Yes. Black Rock Integrative Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Black Rock Integrative Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Black Rock Integrative Medicine. A 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 the clinician's services. Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Black Rock Integrative Medicine was last updated on July 8, 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.