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JENNIFER BLACK NP-C
NPI 1508441239
Nurse Practitioner - Family in Lawrenceville, GA

Active since March 15, 2021PECOS EnrolledAccepts Medicare Assignment
66.62/100
CMS Quality Rating
989 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30046(770) 962-1616 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Black Np-c NPPES

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

JENNIFER BLACK NP-C (NPI 1508441239) is an individual family provider in Lawrenceville, Georgia, licensed in Georgia (RN236581) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lilburn, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508441239
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER BLACKCredential: NP-C
Location Address989 LAWRENCEVILLE HWYLawrenceville, GA 30046-4702
Mailing Address3024 Abbotts Oak WayDuluth, GA 30097-2190 · (770) 547-5889
Phone(770) 962-1616
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 15, 2021
NPPES CertifiedMarch 15, 2021
✔ NPI 1508441239 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 GA · RN236581
989 LAWRENCEVILLE HWY, Lawrenceville, GA 30046
Open in Google Maps ↗

Secondary Practice Location 1

Location 15271 Lawrenceville Hwy NW Ste ALilburn, GA 30047-5922 · Phone (770) 962-1616

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Black Np-c 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 ID9335549088
PECOS Enrollment IDI20210616003673
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 30046 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

66.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.95
Improvement Activities40
Cost47.47

Other Providers at the Same Location NPPES 3

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

JENNIFER SAJ OT
Occupational Therapist
989 LAWRENCEVILLE HWY
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 271-6978
MS. MADHURIKA SAMAKUR D.O.
Internal Medicine (Rheumatology)
989 LAWRENCEVILLE HWY
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-1616
MRS. YASMILKA ELENA SARMIENTO PA-C
Physician Assistant
989 LAWRENCEVILLE HWY
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-1616

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 1508441239. It was assigned to this individual provider in the NPPES registry on March 15, 2021.

Where is Jennifer Black located?

Jennifer Black practices at 989 Lawrenceville Hwy, Lawrenceville, GA 30046. The listed phone number is (770) 962-1616.

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.

What insurance does Jennifer Black accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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.

When was this NPI record last updated?

The NPPES record for Jennifer Black was last updated on March 15, 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.