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JENNIFER M BLACK M.A., CCC-A
NPI 1457379810
Audiologist in Urbana, IL

Active since July 17, 2006Accepts Medicare Assignment
611 W. PARK ST., URBANA, IL 61801(217) 383-3130(217) 326-2336 Get Directions Write a Review

NPPES record last updated: May 12, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer M Black M.a., Ccc-a NPPES

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

JENNIFER M BLACK M.A., CCC-A (NPI 1457379810) is an individual audiologist in Urbana, Illinois, licensed in Illinois (147-000228) and active in the NPI registry since July 2006. She is a graduate of Other (1984).

NPPES Registry Identity

NPI1457379810
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameJENNIFER M BLACKCredential: M.A., CCC-A
Location Address611 W. PARK ST.Urbana, IL 61801-2500
Mailing Address611 W. Park St.Urbana, IL 61801-2500 · (217) 383-6941
Phone(217) 383-3130
Fax(217) 326-2336
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 17, 2006
Last NPPES UpdateMay 12, 2014
✔ NPI 1457379810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in IL · 147-000228
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
611 W. PARK ST., Urbana, IL 61801
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Other Identifiers 2

Medicare NSC6447860011IL
Medicare PINIL3270382IL

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 M Black M.a., Ccc-a 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 ID4486787397
PECOS Enrollment IDI20100729000118

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.

Carle Health Medical Group
0.7 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Richland Memorial Hospital, Inc
96 mi
Critical Access
800 E LOCUST ST
Olney, IL 62450
  • Reassigned Medicare billing, Illinois enrollment
  • 61 clinicians in this Medicare group
NPI 1467492124 (618) 395-7340

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.

Evaluation of hearing function related to surgically implanted hearing device, first hour 92626
This procedure assesses how well your surgically implanted hearing device is working. It involves a series of tests conducted over an hour to measure your hearing ability and device performance. It's a crucial step in ensuring your hearing health.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$54.80 typical visit price
range $54.80 – $168.44
Typical copayment $13.70 (range $13.70 – $42.11)
Most-billed visit code 99202
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 20

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

JOSELYN JOSEPH MD
Internal Medicine
611 W. PARK ST., HOSPITALIST
URBANA, IL 61801
Champaign County (217) 383-3129
LAUREN RUBARTS OT
Occupational Therapist
611 W. PARK ST.
URBANA, IL 61801
Champaign County (217) 383-3400
CHRISTINE PRINCE CRNA
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Champaign County (217) 383-3141
LENA MARIE CLEMENTS CRNA
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Champaign County (217) 383-3303
BENJAMIN J RHEE MD
Internal Medicine (Clinical Cardiac Electrophysiology)
611 W. PARK ST., CARDIOLOGY
URBANA, IL 61801
Champaign County (217) 904-7000
REBECCA A WAGNER MD
Obstetrics & Gynecology
611 W. PARK ST., OB/GYN
URBANA, IL 61801
Champaign County (217) 383-3140
HOSHANG IRANI PA
Physician Assistant
611 W. PARK ST.
URBANA, IL 61801
Champaign County (217) 383-3313
AUBREY N. HUDSON PA
Physician Assistant
611 W. PARK ST., OB/GYN
URBANA, IL 61801
Champaign County (217) 383-3140

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 1457379810. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Jennifer Black located?

Jennifer Black practices at 611 W. Park St., Urbana, IL 61801. The listed phone number is (217) 383-3130.

What is Jennifer Black's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

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: Carle Health Medical Group (Urbana, IL) and Richland Memorial Hospital, Inc (Olney, IL). 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.

When was this NPI record last updated?

The NPPES record for Jennifer Black was last updated on May 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.