JENNIFER LEIGH BLACK APRN
NPI 1710347943
Nurse Practitioner - Psychiatric/Mental Health in Tukwila, WA

Q: What is Jennifer Black's NPI number?

The NPI number for Jennifer Black is 1710347943. It was assigned to this individual provider in the NPPES registry on March 1, 2016.

Q: What is Jennifer Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Black was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 01, 2016PECOS EnrolledAccepts Medicare Assignment

16000 CHRISTENSEN RD STE 200, TUKWILA, WA 98188(833) 719-0886(702) 589-4872 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2025, Mar 25, 2025, Aug 18, 2021 and 6 more (9 updates tracked since 2016).

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About Jennifer Leigh Black Aprn NPPES

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

JENNIFER LEIGH BLACK APRN (NPI 1710347943) is an individual psychiatric/mental health provider in Tukwila, Washington, licensed in Iowa (G166344) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hamburg, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1710347943

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNIFER LEIGH BLACKCredential: APRN

Location Address16000 CHRISTENSEN RD STE 200Tukwila, WA 98188-2925

Mailing Address16000 Christensen Rd Ste 200Tukwila, WA 98188-2925 · (702) 483-5020

Phone(833) 719-0886

Fax(702) 589-4872

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 1, 2016

Last NPPES UpdateAugust 6, 20259 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1710347943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in IA · G166344✔ Licensed in WA · 70003309-NP

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License A149915 (IA)

16000 CHRISTENSEN RD STE 200, Tukwila, WA 98188

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Secondary Practice Location 1

Location 11905 Argyle StHamburg, IA 51640-1503 · Phone (712) 246-7400 · Fax (712) 246-7319

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Jennifer Leigh Black Aprn 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 ID5799083051

PECOS Enrollment IDI20250911003551

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

Medicare enrollment records show Jennifer Black reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harbor Youth And Family Counseling

Same address

Mental Health

16000 CHRISTENSEN RD STE 200
Tukwila, WA 98188

Reassigned Medicare billing, Washington enrollment
43 clinicians in this Medicare group

NPI 1205466265 (833) 719-0886

Pine Ridge Indian Health Service Hospital

1,012 mi

Clinic/Center

1000 HEALTH CENTER RD
Kyle, SD 57752

Reassigned Medicare billing, Texas enrollment
84 clinicians in this Medicare group

NPI 1003963497 (605) 455-2451

Shenandoah Medical Center

1,388 mi

Rural Health

400 MAIN ST
Tabor, IA 51653

Reassigned Medicare billing, Iowa enrollment
91 clinicians in this Medicare group

NPI 1508487547 (712) 246-7245

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 98188 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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 9

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

ST JOHN AUD CAVINS APRN

Nurse Practitioner (Psychiatric/Mental Health)