CATHERINE M BLACK CRNP
NPI 1720579840
Nurse Practitioner - Family in Avon, CT
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
Specialties & Licenses
Secondary Practice Locations 4
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Catherine Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wethersfield, CT 06109
- Reassigned Medicare billing, Connecticut enrollment
- 747 clinicians in this Medicare group
Doylestown, PA 18901
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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.
Which organizations bill Medicare for Catherine Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Black reassigns Medicare benefits to 2 organizations: Hartford Healthcare Medical Group, Inc (Wethersfield, CT) and University Of Penn - Medical Group (Doylestown, PA). 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 Catherine Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Catherine Black accept?
Health plans from Anthem Blue Cross and Blue Shield list Catherine 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 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.
# Catherine M Black, CRNP · NPI 1720579840
Family physician in Avon, Connecticut. Individual provider, active in the CMS NPPES registry since May 24, 2018.
## Identity
- **NPI:** 1720579840 (Entity type: Individual)
- **Enumerated:** May 24, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11328 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 339 W MAIN ST, Avon, CT 06001-4322
- **Phone:** (860) 696-2150 · **Fax:** (860) 696-2155
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hartford Healthcare Medical Group, Inc (NPI 1043561301, Wethersfield, CT); University Of Penn - Medical Group (NPI 1538056163, Doylestown, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720579840) · Data from the CMS NPPES public registry.