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SUMMER BLACK PA-C
NPI 1710836424
Physician Assistant in Salisbury, MD

Active since January 26, 2026PECOS Enrolled
914 EASTERN SHORE DR, SALISBURY, MD 21804(420) 546-1331 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summer Black Pa-c NPPES

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

SUMMER BLACK PA-C (NPI 1710836424) is an individual physician assistant in Salisbury, Maryland and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710836424
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUMMER BLACKCredential: PA-C
Location Address914 EASTERN SHORE DRSalisbury, MD 21804-6410
Mailing Address914 Eastern Shore DrSalisbury, MD 21804-6410
Phone(420) 546-1331
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1710836424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
914 EASTERN SHORE DR, Salisbury, MD 21804
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summer Black Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345723037
PECOS Enrollment IDI20260311001329
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 21804 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Summer Black's NPI number?

The NPI number for Summer Black is 1710836424. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Where is Summer Black located?

Summer Black practices at 914 Eastern Shore Dr, Salisbury, MD 21804. The listed phone number is (420) 546-1331.

What is Summer Black's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Summer Black enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Summer Black was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.