GWENDOLYN S BLACK FNP-BC
NPI 1467970244
Nurse Practitioner - Family in Houston, TX

Active since August 31, 2017PECOS EnrolledAccepts Medicare Assignment
4700 W SAM HOUSTON PKWY N STE 220, HOUSTON, TX 77041(713) 402-7824 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2021, Aug 31, 2017 (2 updates tracked since 2017).

About Gwendolyn S Black Fnp-bc NPPES

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

GWENDOLYN S BLACK FNP-BC (NPI 1467970244) is an individual family provider in Houston, Texas, licensed in Texas (AP135030) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1467970244
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGWENDOLYN S BLACKCredential: FNP-BC
Location Address4700 W SAM HOUSTON PKWY N STE 220Houston, TX 77041-8224
Mailing Address4700 W Sam Houston Pkwy N Ste 220Houston, TX 77041-8224 · (713) 402-7824
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 31, 2017
Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
✔ NPI 1467970244 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 TX · AP135030
4700 W SAM HOUSTON PKWY N STE 220, Houston, TX 77041

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

Gwendolyn S Black 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 ID5890117808
PECOS Enrollment IDI20200622000434
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

5

Medicare enrollment records show Gwendolyn Black reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
706 W BEN WHITE BLVD, SUITE 100
Austin, TX 78704
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Wellmed Medical Group PA
  • 762 clinicians in this Medicare group
Specialist
1108 BELMONT PL
Metairie, LA 70001
  • Reassigned Medicare billing, Texas enrollment
  • 47 clinicians in this Medicare group
Multi-Specialty
4436 MANGUM DR
Flowood, MS 39232
  • Reassigned Medicare billing, Texas enrollment
  • 33 clinicians in this Medicare group
Family
10 CANEBRAKE BLVD STE 110-09
Flowood, MS 39232
  • Reassigned Medicare billing, Texas enrollment
  • 35 clinicians in this Medicare group
Nurse Practitioner
120 STONE CREEK BLVD STE 300
Flowood, MS 39232
  • Reassigned Medicare billing, Texas enrollment
  • 69 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77041 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 20

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

Nurse Practitioner (Gerontology)
4700 W SAM HOUSTON PKWY N STE 220
HOUSTON, TX 77041
Nurse Practitioner (Primary Care)
4700 W SAM HOUSTON PKWY N STE 220
HOUSTON, TX 77041
Physician Assistant
4700 W SAM HOUSTON PKWY N STE 220
HOUSTON, TX 77041
Nurse Practitioner (Family)
4700 W SAM HOUSTON PKWY N STE 220
HOUSTON, TX 77041
Nurse Practitioner (Family)
4700 W SAM HOUSTON PKWY N STE 220
HOUSTON, TX 77041
Nurse Practitioner (Family)
4700 W SAM HOUSTON PKWY N STE 220
HOUSTON, TX 77041
Nurse Practitioner (Family)
4700 W SAM HOUSTON PKWY N STE 220
HOUSTON, TX 77041
Family Medicine
4700 W SAM HOUSTON PKWY N STE 220
HOUSTON, TX 77041

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 Gwendolyn Black's NPI number?

The NPI number for Gwendolyn Black is 1467970244. It was assigned to this individual provider in the NPPES registry on August 31, 2017.

Where is Gwendolyn Black located?

Gwendolyn Black practices at 4700 W Sam Houston Pkwy N Ste 220, Houston, TX 77041. The listed phone number is (713) 402-7824.

What is Gwendolyn Black's specialty?

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

Is Gwendolyn Black enrolled in Medicare?

Yes. Gwendolyn 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 Gwendolyn Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolyn Black reassigns Medicare benefits to 5 organizations: Wellmed Medical Group, P.A. (Austin, TX), Healthcare Plus Limited Liability Company (Metairie, LA), Advanced Vascular And Vein Associates, LLC (Flowood, MS), On-Site Health LLC (Flowood, MS) and Wound Management Specialists, LLC (Flowood, MS). 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 Gwendolyn Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gwendolyn Black accept?

Health plans from Blue Cross and Blue Shield of Texas list Gwendolyn 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.

When was this NPI record last updated?

The NPPES record for Gwendolyn Black was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.