SERENA STAR BLACK MD
NPI 1508007675
Pediatrics in Springfield, OR
About Serena Star Black Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERENA STAR BLACK MD (NPI 1508007675) is an individual pediatrics provider in Springfield, Oregon, licensed in Oregon (MD154349) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Serena Star Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Serena Black reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, OR 97477
- Reassigned Medicare billing, Oregon enrollment
- 412 clinicians in this Medicare group
Creswell, OR 97426
- Reassigned Medicare billing, Oregon enrollment
- 83 clinicians in this Medicare group
Cottage Grove, OR 97424
- Reassigned Medicare billing, Oregon enrollment
- 113 clinicians in this Medicare group
Florence, OR 97439
- Reassigned Medicare billing, Oregon enrollment
- 172 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 97477 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SPRINGFIELD, OR 97477
SPRINGFIELD, OR 97477
SPRINGFIELD, OR 97477
SPRINGFIELD, OR 97477
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 Serena Black's NPI number?
The NPI number for Serena Black is 1508007675. It was assigned to this individual provider in the NPPES registry on March 18, 2009.
Where is Serena Black located?
Serena Black practices at 3377 Riverbend Dr, Springfield, OR 97477. The listed phone number is (541) 222-8500.
What is Serena Black's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Serena Black enrolled in Medicare?
Yes. Serena Black is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Serena Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Serena Black reassigns Medicare benefits to 4 organizations: Peacehealth Medical Group (Springfield, OR), Peacehealth Medical Group Cottage Grove (Creswell, OR), Peacehealth (Cottage Grove, OR) and Peacehealth (Florence, OR). 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 Serena Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Serena Black accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Serena 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 Serena Black was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Serena Star Black, MD · NPI 1508007675
Pediatrics physician in Springfield, Oregon. Individual provider, active in the CMS NPPES registry since March 18, 2009.
## Identity
- **NPI:** 1508007675 (Entity type: Individual)
- **Enumerated:** March 18, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD154349 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3377 RIVERBEND DR, Springfield, OR 97477-8803
- **Phone:** (541) 222-8500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Peacehealth Medical Group (NPI 1881860856, Springfield, OR); Peacehealth Medical Group Cottage Grove (NPI 1780631267, Creswell, OR); Peacehealth (NPI 1902892391, Cottage Grove, OR); Peacehealth (NPI 1578552402, Florence, OR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1508007675) · Data from the CMS NPPES public registry.