AUTUMN BLACK
NPI 1376137414
Nurse Practitioner - Family in Louisville, KY

Active since March 01, 2021PECOS EnrolledAccepts Medicare Assignment
2100 MILLVALE RD, LOUISVILLE, KY 40205(443) 383-9300 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2022, Mar 1, 2021 (2 updates tracked since 2021).

About Autumn Black NPPES

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

AUTUMN BLACK (NPI 1376137414) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3014903) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Frankfort Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376137414
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAUTUMN BLACK
Location Address2100 MILLVALE RDLouisville, KY 40205-1604
Mailing Address909 Ridgebrook Rd Ste 300Sparks, MD 21152-9477 · (443) 383-9300
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 1, 2021
Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
NPI 1376137414 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
License Licensed in KY · 3014903
2100 MILLVALE RD, Louisville, KY 40205

Accepted 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

Autumn Black 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 ID8426464926
PECOS Enrollment IDI20210308002853
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services22 patients

Hospital Affiliations CMS Care Compare

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

Frankfort Regional Medical Center

Acute Care Hospitals · Frankfort, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180127
Location299 Kings Daughters DriveFrankfort, KY 40601 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40205 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 11

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

Skilled Nursing Facility
2100 MILLVALE RD
LOUISVILLE, KY 40205
Nurse Practitioner (Family)
2100 MILLVALE RD
LOUISVILLE, KY 40205
Nurse Practitioner (Adult Health)
2100 MILLVALE RD
LOUISVILLE, KY 40205
Nurse Practitioner (Family)
2100 MILLVALE RD
LOUISVILLE, KY 40205
Nurse Practitioner
2100 MILLVALE RD
LOUISVILLE, KY 40205
Skilled Nursing Facility
2100 MILLVALE RD
LOUISVILLE, KY 40205
Nurse Practitioner (Family)
2100 MILLVALE RD
LOUISVILLE, KY 40205
Occupational Therapist
2100 MILLVALE RD
LOUISVILLE, KY 40205

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 Autumn Black's NPI number?

The NPI number for Autumn Black is 1376137414. It was assigned to this individual provider in the NPPES registry on March 1, 2021.

Where is Autumn Black located?

Autumn Black practices at 2100 Millvale Rd, Louisville, KY 40205. The listed phone number is (443) 383-9300.

What is Autumn Black's specialty?

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

Is Autumn Black enrolled in Medicare?

Yes. Autumn 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.

What insurance does Autumn Black accept?

Health plans from UnitedHealthcare list Autumn 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 Autumn Black affiliated with any hospitals?

According to CMS data, Autumn Black is affiliated with Frankfort Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Autumn Black was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.