DR. COLLEEN ROCHELLE BLACK MD - NPI 1508032194 - Pediatrics in Harrisburg, NC

Q: What is Colleen Black's NPI number?

The NPI number for Colleen Black is 1508032194. It was assigned to this individual provider in the NPPES registry on May 2, 2008.

Q: What is Colleen Black's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Colleen Black was last updated on October 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Colleen Rochelle Black Md NPPES

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

DR. COLLEEN ROCHELLE BLACK MD (NPI 1508032194) is an individual pediatrics provider in Harrisburg, North Carolina, licensed in North Carolina (2008-00927) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508032194

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. COLLEEN ROCHELLE BLACKCredential: MD

Location Address6555 KEE LN STE 200Harrisburg, NC 28075-7463

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (844) 266-8268

Phone(704) 316-6140

Fax(704) 316-6141

Sole ProprietorNo

Enumeration DateMay 2, 2008

Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2020

✔ NPI 1508032194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 2008-00927

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

6555 KEE LN STE 200, Harrisburg, NC 28075

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Secondary Practice Locations 2

Location 11918 Randolph Rd Ste 700Charlotte, NC 28207 · Phone (704) 384-1056 · Fax (704) 384-1046

Location 29550 Rocky River Rd Ste 150Charlotte, NC 28215-9592 · Phone (704) 316-6140 · Fax (704) 316-6141

Other Identifiers 1

Medicaid5916285NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Colleen Rochelle Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28075 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 10

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

CAROL J SOUCIE MD

Pediatrics