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JENNIFER BLACK MSN, APRN, FNP-BC
NPI 1427809656
Nurse Practitioner - Family in Pataskala, OH

Active since March 27, 2024PECOS EnrolledAccepts Medicare Assignment
8910 BROAD ST SW, PATASKALA, OH 43062(740) 927-6705 Get Directions Write a Review

NPPES record last updated: March 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennifer Black Msn, Aprn, Fnp-bc NPPES

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

JENNIFER BLACK MSN, APRN, FNP-BC (NPI 1427809656) is an individual family provider in Pataskala, Ohio, licensed in Ohio (APRN.CNP.0033046) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1427809656
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER BLACKCredential: MSN, APRN, FNP-BC
Location Address8910 BROAD ST SWPataskala, OH 43062-7886
Mailing Address1215 Brookridge DrColumbus, OH 43235-4004 · (614) 582-3570
Phone(740) 927-6705
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 27, 2024
Last NPPES UpdateMarch 30, 2024
NPPES CertifiedMarch 30, 2024
✔ NPI 1427809656 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 OH · APRN.CNP.0033046
8910 BROAD ST SW, Pataskala, OH 43062
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource (Common Ground Healthcare) 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 and accepts Medicare assignment

Jennifer Black Msn, Aprn, Fnp-bc 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 ID4486198371
PECOS Enrollment IDI20240702003745
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 Reassignments

2

Medicare enrollment records show Jennifer Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Ohio Urology Group, LLC
11 mi
Urology
701 TECH CENTER DRIVE, SUITE 100
Gahanna, OH 43230
  • Reassigned Medicare billing, Ohio enrollment
  • 55 clinicians in this Medicare group
NPI 1396780466 (614) 396-2684
Signify Health, LLC
927 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 4

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 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.
23 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43062 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 6

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

APRYL M. REASON
Pharmacy Technician
8910 BROAD ST SW
PATASKALA, OH 43062
Licking County (740) 927-4051
ASHLEY CYPHERS CNP
Nurse Practitioner (Family)
8910 BROAD ST SW
PATASKALA, OH 43062
Licking County (866) 389-2727
SHAUNTE NICHOLE-HILL CHURCHILL FNP
Nurse Practitioner (Family)
8910 BROAD ST SW
PATASKALA, OH 43062
Licking County (866) 389-2727
MISS NAFISA IBRAHIM RN
Nurse Practitioner (Family)
8910 BROAD ST SW
PATASKALA, OH 43062
Licking County (740) 927-6705
MRS. BROOKE SYDNEY SWART NP
Nurse Practitioner (Family)
8910 BROAD ST SW
PATASKALA, OH 43062
Licking County (740) 927-6705
MRS. ANNMARIE WELDY RPH
Pharmacist
8910 BROAD ST SW
PATASKALA, OH 43062
Licking County (740) 927-4051

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 Jennifer Black's NPI number?

The NPI number for Jennifer Black is 1427809656. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Jennifer Black located?

Jennifer Black practices at 8910 Broad St SW, Pataskala, OH 43062. The listed phone number is (740) 927-6705.

What is Jennifer Black's specialty?

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

Is Jennifer Black enrolled in Medicare?

Yes. Jennifer 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 Jennifer Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Black reassigns Medicare benefits to 2 organizations: Central Ohio Urology Group, LLC (Gahanna, OH) and Signify Health, LLC (Dallas, TX). 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 Jennifer Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Black accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource (Common Ground Healthcare), MedMutual and Oscar Health Insurance list Jennifer 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 Jennifer Black affiliated with any hospitals?

According to CMS data, Jennifer Black is affiliated with Riverside Methodist Hospital, Mount Carmel East & West and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Black was last updated on March 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.