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CASSIDY ANN BLACK CRNP
NPI 1619459617
Nurse Practitioner - Pediatrics, Critical Care in Birmingham, AL

Active since September 05, 2018PECOS Enrolled
1600 7TH AVE S STE 102, BIRMINGHAM, AL 35233(205) 638-9387(205) 975-6505 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cassidy Ann Black Crnp NPPES

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

CASSIDY ANN BLACK CRNP (NPI 1619459617) is an individual pediatrics, critical care provider in Birmingham, Alabama, licensed in Alabama (1-148561) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619459617
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameCASSIDY ANN BLACKCredential: CRNP
Location Address1600 7TH AVE S STE 102Birmingham, AL 35233-1711
Mailing Address5202 Colony Park DrBirmingham, AL 35243-3323 · (256) 531-3788
Phone(205) 638-9387
Fax(205) 975-6505
Sole ProprietorNo
Enumeration DateSeptember 5, 2018
✔ NPI 1619459617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in AL · 1-148561
1600 7TH AVE S STE 102, Birmingham, AL 35233
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassidy Ann Black Crnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Cassidy Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Urgent Care, LLC
7.6 mi
Urgent Care
500 CAHABA PARK CIR, STE 100
Birmingham, AL 35242
  • Reassigned Medicare billing, Alabama enrollment
  • Medicare enrollment name: Childrens Urgent Care, LLC
  • 98 clinicians in this Medicare group
NPI 1124541438 (205) 848-2273

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 35233 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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

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

MADHURA ADIGA HALLMAN M.D., MPH
Pediatrics (Pediatric Critical Care Medicine)
1600 7TH AVE S STE 102
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9387

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 Cassidy Black's NPI number?

The NPI number for Cassidy Black is 1619459617. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Where is Cassidy Black located?

Cassidy Black practices at 1600 7th Ave S Ste 102, Birmingham, AL 35233. The listed phone number is (205) 638-9387.

What is Cassidy Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Cassidy Black enrolled in Medicare?

Yes. Cassidy Black is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cassidy Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassidy Black reassigns Medicare benefits to Children's Urgent Care, LLC (Birmingham, AL). 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 Cassidy Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cassidy Black was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.