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NATALIE DEBORAH BLACK APRN
NPI 1295542793
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Active since December 17, 2024PECOS Enrolled
11714 LANIER CREEK DR, JACKSONVILLE, FL 32258(619) 718-2410 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Natalie Deborah Black Aprn NPPES

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

NATALIE DEBORAH BLACK APRN (NPI 1295542793) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (APRN11036681) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295542793
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNATALIE DEBORAH BLACKCredential: APRN
Location Address11714 LANIER CREEK DRJacksonville, FL 32258-1265
Mailing Address11714 Lanier Creek DrJacksonville, FL 32258-1265 · (619) 718-2410
Phone(619) 718-2410
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1295542793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11036681
11714 LANIER CREEK DR, Jacksonville, FL 32258
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natalie Deborah Black Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628507910
PECOS Enrollment IDI20250131001396
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.

Medicare Billing Reassignment

Medicare enrollment records show Natalie Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stedfast Medical Services LLC
247 mi
Psychiatry
3365 BURNS RD STE 203
Palm Beach Gardens, FL 33410
  • Reassigned Medicare billing, Florida enrollment
  • 48 clinicians in this Medicare group
NPI 1508438284 (561) 708-5092

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 32258 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Natalie Black's NPI number?

The NPI number for Natalie Black is 1295542793. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Where is Natalie Black located?

Natalie Black practices at 11714 Lanier Creek Dr, Jacksonville, FL 32258. The listed phone number is (619) 718-2410.

What is Natalie Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Natalie Black enrolled in Medicare?

Yes. Natalie Black is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Natalie Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natalie Black reassigns Medicare benefits to Stedfast Medical Services LLC (Palm Beach Gardens, FL). 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 Natalie Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Natalie Black accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Natalie 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 Natalie Black was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.