MR. JASON L BLACK APRN-C
NPI 1306013305
Nurse Practitioner - Family in Lebanon, TN

Q: What is Jason Black's NPI number?

The NPI number for Jason Black is 1306013305. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Q: What is Jason Black's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jason Black was last updated on June 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 09, 2008PECOS EnrolledAccepts Medicare Assignment

1407 W BADDOUR PKWY, LEBANON, TN 37087(615) 444-6203(615) 444-6252 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Jason L Black Aprn-c NPPES

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

MR. JASON L BLACK APRN-C (NPI 1306013305) is an individual family provider in Lebanon, Tennessee, licensed in Tennessee (12510) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Tristar Summit Medical Center, and maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1306013305

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JASON L BLACKCredential: APRN-C

Location Address1407 W BADDOUR PKWYLebanon, TN 37087-2513

Mailing Address1407 W Baddour PkwyLebanon, TN 37087-2513 · (615) 444-6203 · Fax (615) 444-6252

Phone(615) 444-6203

Fax(615) 444-6252

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2006

Enumeration DateMay 9, 2008

Last NPPES UpdateJune 11, 2020

NPPES CertifiedJune 11, 2020

✔ NPI 1306013305 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

Licenses✔ Licensed in TN · 12510✔ Licensed in TX · AP145757

1407 W BADDOUR PKWY, Lebanon, TN 37087

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Secondary Practice Location 1

Location 11600 US Highway 79 SHenderson, TX 75654-4508 · Phone (903) 717-3260

Other Identifiers 9

Other1671330TN · Cigna

Other3323078TN · Uhc

Other12242516TN · Caqh

Other12510TN · Advanced Practice Nurse Number

Other270851352TN · Aetna

Medicaid1524683TN

Other141492TN · Tn Registered Nurse

Other62-1792161TN · Tricare

Other4298132TN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Mr. Jason L Black Aprn-c 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 ID4284812603

PECOS Enrollment IDI20110706000460

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440150

Location5655 Frist BlvdHermitage, TN 37076 · Davidson County

Emergency services Birthing friendly

Vanderbilt Wilson County Hospital

Acute Care Hospitals · Lebanon, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440193

Location1411 Baddour ParkwayLebanon, TN 37087 · Wilson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37087 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 20

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

DR. ROGER E MCKINNEY M.D.

Family Medicine