DR. NICHOLETTE M BLACK DO
NPI 1306407481
Surgery in Austin, TX

Q: What is Nicholette Black's NPI number?

The NPI number for Nicholette Black is 1306407481. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Q: What is Nicholette Black's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholette Black was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment

5251 W HIGHWAY 290, AUSTIN, TX 78735(512) 654-3000 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2025, Jul 30, 2024 (2 updates tracked since 2024).

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About Dr. Nicholette M Black Do NPPES

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

DR. NICHOLETTE M BLACK DO (NPI 1306407481) is an individual surgery provider in Austin, Texas, licensed in Texas (V9281) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Round Rock, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306407481

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. NICHOLETTE M BLACKCredential: DO

Location Address5251 W HIGHWAY 290Austin, TX 78735-8963

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722

Phone(512) 654-3000

Sole ProprietorNo

Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2019

Enumeration DateJune 27, 2019

Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1306407481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · V9281

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

5251 W HIGHWAY 290, Austin, TX 78735

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Secondary Practice Locations 2

Location 142 E Laurel Rd Ste 2600Stratford, NJ 08084-1354 · Phone (856) 566-6875

Location 2449 Jack Stephens DrLittle Rock, AR 72205 · Phone (501) 686-8530 · Fax (501) 603-1550

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Health Advantage 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

Dr. Nicholette M Black Do 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 ID4183002413

PECOS Enrollment IDI20240812003671, I20250903000940

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.

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670034

Location300 University BlvdRound Rock, TX 78664 · Williamson County

Emergency services Birthing friendly

Baylor Scott & White Medical Center- Austin

Acute Care Hospitals · Austin, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number670136

Location5245 W Us 290Austin, TX 78735 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78735 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

Most-billed visit code 99213

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 16

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

EMERALD COURTNEY PA-C

Physician Assistant