CATHERINE M BLACK CRNP
NPI 1720579840
Nurse Practitioner - Family in Avon, CT

Active since May 24, 2018PECOS EnrolledAccepts Medicare Assignment
93.56/100
CMS Quality Rating
339 W MAIN ST, AVON, CT 06001(860) 696-2150(860) 696-2155 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2022, Jun 6, 2021, May 24, 2018 (3 updates tracked since 2018).

About Catherine M Black Crnp NPPES

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

CATHERINE M BLACK CRNP (NPI 1720579840) is an individual family provider in Avon, Connecticut, licensed in Connecticut (11328) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720579840
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCATHERINE M BLACKCredential: CRNP
Location Address339 W MAIN STAvon, CT 06001-4322
Mailing Address1206 N Gravel PikeZieglersville, PA 19492-9727 · (866) 389-2727
Fax(860) 696-2155
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 24, 2018
Last NPPES UpdateDecember 14, 20223 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
NPI 1720579840 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
Licenses Licensed in CT · 11328 Licensed in PA · SP018464
339 W MAIN ST, Avon, CT 06001

Secondary Practice Locations 4

Location 1800 Walnut St Fl 10Philadelphia, PA 19107-5176 · Phone (215) 829-2345
Location 21218 E Lancaster AveBryn Mawr, PA 19010-2616 · Phone (866) 938-2727
Location 33930 W Chester PikeNewtown Square, PA 19073-3209 · Phone (866) 389-2727
Location 41206 N Gravel PikeZieglersville, PA 19492-9727 · Phone (866) 389-2727

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Catherine M Black Crnp 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 ID1153686472
PECOS Enrollment IDI20230104001004
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
129 services106 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06001 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.51
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Primary Care)
339 W MAIN ST
AVON, CT 06001
Family Medicine
339 W MAIN ST, HARTFORD MEDICAL GROUP
AVON, CT 06001
Internal Medicine
339 W MAIN ST
AVON, CT 06001
Physician Assistant (Medical)
339 W MAIN ST
AVON, CT 06001
Family Medicine
339 W MAIN ST
AVON, CT 06001
Nurse Practitioner (Family)
339 W MAIN ST
AVON, CT 06001
Physician Assistant
339 W MAIN ST
AVON, CT 06001
Durable Medical Equipment & Medical Supplies
339 W MAIN ST
AVON, CT 06001

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 Catherine Black's NPI number?

The NPI number for Catherine Black is 1720579840. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Where is Catherine Black located?

Catherine Black practices at 339 W Main St, Avon, CT 06001. The listed phone number is (860) 696-2150.

What is Catherine Black's specialty?

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

Is Catherine Black enrolled in Medicare?

Yes. Catherine 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.

When was this NPI record last updated?

The NPPES record for Catherine Black was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.