KRISTEN BLACK OD
NPI 1518717867
Optometrist in Jonesboro, AR
About Kristen Black Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTEN BLACK OD (NPI 1518717867) is an individual optometrist in Jonesboro, Arkansas, licensed in Arkansas (2883) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2024).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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
Kristen Black Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Kristen Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jonesboro, AR 72401
- Reassigned Medicare billing, Arkansas enrollment
- 7 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 72401 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kristen Black's NPI number?
The NPI number for Kristen Black is 1518717867. It was assigned to this individual provider in the NPPES registry on March 26, 2024.
Where is Kristen Black located?
Kristen Black practices at 2100 E Highland Dr Ste 100, Jonesboro, AR 72401. The listed phone number is (870) 972-6040.
What is Kristen Black's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kristen Black enrolled in Medicare?
Yes. Kristen 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 organization bills Medicare for Kristen Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Black reassigns Medicare benefits to Elite Eye Care & Optical LLC (Jonesboro, AR). The 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 Kristen Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristen Black accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Health Advantage and Octave and 1 other insurer list Kristen 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 Kristen Black was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kristen Black, OD · NPI 1518717867
Optometrist provider in Jonesboro, Arkansas. Individual provider, active in the CMS NPPES registry since March 26, 2024.
## Identity
- **NPI:** 1518717867 (Entity type: Individual)
- **Enumerated:** March 26, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2883 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2100 E HIGHLAND DR STE 100, Jonesboro, AR 72401-5383
- **Phone:** (870) 972-6040
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Elite Eye Care & Optical LLC (NPI 1386795094, Jonesboro, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2024
## Record status
- **NPPES last updated:** September 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1518717867) · Data from the CMS NPPES public registry.