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MARY ELIZABETH BLACK APRN, NP-C
NPI 1679051668
Nurse Practitioner - Family in Clinton, AR

Active since August 01, 2018PECOS Enrolled
175 VOLUNTEER PKWY, CLINTON, AR 72031(501) 745-3388(501) 745-3006 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2026, Jun 7, 2026, Aug 20, 2024 and 3 more (6 updates tracked since 2018).

About Mary Elizabeth Black Aprn, Np-c NPPES

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

MARY ELIZABETH BLACK APRN, NP-C (NPI 1679051668) is an individual family provider in Clinton, Arkansas, licensed in Arkansas (A005463) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fairfield Bay.

NPPES Registry Identity

NPI1679051668
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY ELIZABETH BLACKCredential: APRN, NP-C
Location Address175 VOLUNTEER PKWYClinton, AR 72031-8001
Mailing Address175 Volunteer PkwyClinton, AR 72031-8001 · (501) 745-3388 · Fax (501) 745-3006
Phone(501) 745-3388
Fax(501) 745-3006
Sole ProprietorNo
Enumeration DateAugust 1, 2018
Last NPPES UpdateAugust 25, 20266 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1679051668 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 AR · A005463
175 VOLUNTEER PKWY, Clinton, AR 72031
Open in Google Maps ↗

Secondary Practice Location 1

Location 1383 Dave Creek PkwyFairfield Bay, AR 72088-3631 · Phone (501) 884-6900 · Fax (501) 745-3006

Other Identifiers 2

Medicaid231518758AR
Other5DK30AR · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth Black Aprn, Np-c 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 Reassignments

2

Medicare enrollment records show Mary Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ozark Health, Inc
Same address
Rural Health
175 VOLUNTEER PKWY
Clinton, AR 72031
  • Reassigned Medicare billing, Arkansas enrollment
  • 59 clinicians in this Medicare group
NPI 1366614935 (501) 745-3388
Signify Health Medical Associates, PLLC
310 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arkansas enrollment
  • 354 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 72031 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers35 claims35 services$17.68 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
8 suppliers56 claims58 services$104.53 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

KATHERINE ELIZABETH DUNHAM APRN
Nurse Practitioner (Family)
175 VOLUNTEER PKWY
CLINTON, AR 72031
Van Buren County (501) 745-3388
MRS. KILEY AUSTIN PENNINGTON MSN, APRN, FNP-C
Nurse Practitioner
175 VOLUNTEER PKWY
CLINTON, AR 72031
Van Buren County (501) 745-3388
WHITE COUNTY MEDICAL CENTER
Clinic/Center (Primary Care)
175 VOLUNTEER PKWY
CLINTON, AR 72031
Van Buren County (501) 745-3033
MRS. ABIGAIL BONDS APRN
Nurse Practitioner (Family)
175 VOLUNTEER PKWY
CLINTON, AR 72031
Van Buren County (501) 745-3033
OZARK HEALTH, INC
Clinic/Center (Rural Health)
175 VOLUNTEER PKWY
CLINTON, AR 72031
Van Buren County (501) 745-3388
MRS. LINDA MARIE GREEN FNP-C
Nurse Practitioner (Family)
175 VOLUNTEER PKWY
CLINTON, AR 72031
Van Buren County (501) 745-3388

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 Mary Black's NPI number?

The NPI number for Mary Black is 1679051668. It was assigned to this individual provider in the NPPES registry on August 1, 2018.

Where is Mary Black located?

Mary Black practices at 175 Volunteer Pkwy, Clinton, AR 72031. The listed phone number is (501) 745-3388.

What is Mary Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Black enrolled in Medicare?

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

Which organizations bill Medicare for Mary Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Black reassigns Medicare benefits to 2 organizations: Ozark Health, Inc (Clinton, AR) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Mary Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Black accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Mary 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 Mary Black was last updated on August 25, 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.