MR. JASON L BLACK APRN-C
NPI 1306013305
Nurse Practitioner - Family in Lebanon, TN
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 9
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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Jason Black reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lebanon, TN 37087
- Reassigned Medicare billing, Tennessee enrollment
- 10 clinicians in this Medicare group
Anniston, AL 36201
- Reassigned Medicare billing, Alabama enrollment
- 78 clinicians in this Medicare group
Auburn, AL 36830
- Reassigned Medicare billing, Alabama enrollment
- 94 clinicians in this Medicare group
Fort Madison, IA 52627
- Reassigned Medicare billing, Iowa enrollment
- 72 clinicians in this Medicare group
Springfield, OR 97478
- Reassigned Medicare billing, Oregon enrollment
- 190 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tristar Summit Medical Center
Acute Care Hospitals · Hermitage, TNPhysician 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.
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.
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 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.
Where is Jason Black located?
Jason Black practices at 1407 W Baddour Pkwy, Lebanon, TN 37087. The listed phone number is (615) 444-6203.
What is Jason Black's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jason Black enrolled in Medicare?
Yes. Jason 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 Jason Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Black reassigns Medicare benefits to 5 organizations: Family Medical PC (Lebanon, TN), Southern Immediate Care, LLC (Anniston, AL), Stopwatch Urgent Care Centers LLC (Auburn, AL), Qv Urgent Care Ia PLLC (Fort Madison, IA) and Icco, LLC (Springfield, OR). 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 Jason Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jason Black accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Jason 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.
Is Jason Black affiliated with any hospitals?
According to CMS data, Jason Black is affiliated with Tristar Summit Medical Center.
When was this NPI record last updated?
The NPPES record for Jason Black was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Jason L Black, APRN-C · NPI 1306013305
Family physician in Lebanon, Tennessee. Individual provider, active in the CMS NPPES registry since May 9, 2008.
## Identity
- **NPI:** 1306013305 (Entity type: Individual)
- **Enumerated:** May 9, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 12510 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1407 W BADDOUR PKWY, Lebanon, TN 37087-2513
- **Phone:** (615) 444-6203 · **Fax:** (615) 444-6252
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Family Medical PC (NPI 1295805794, Lebanon, TN); Southern Immediate Care, LLC (NPI 1467909978, Anniston, AL); Stopwatch Urgent Care Centers LLC (NPI 1841506458, Auburn, AL); Qv Urgent Care Ia PLLC (NPI 1114643806, Fort Madison, IA); Icco, LLC (NPI 1528356953, Springfield, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** June 11, 2020
- **Other identifiers:** Other 1671330 (TN); Other 3323078 (TN); Other 12242516 (TN); and 6 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1306013305) · Data from the CMS NPPES public registry.