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MICHAEL R BLACK
NPI 1750858072
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA

Active since October 24, 2018PECOS Enrolled
901 RAINIER AVE S, SEATTLE, WA 98144(206) 470-3880 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2026, Oct 24, 2018 (2 updates tracked since 2018).

About Michael R Black NPPES

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

MICHAEL R BLACK (NPI 1750858072) is an individual psychiatric/mental health provider in Seattle, Washington, licensed in Washington (AP70094717) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2025).

NPPES Registry Identity

NPI1750858072
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL R BLACK
Location Address901 RAINIER AVE SSeattle, WA 98144-2839
Mailing Address901 Rainier Ave SSeattle, WA 98144-2839
Phone(206) 470-3880
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2025
Enumeration DateOctober 24, 2018
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1750858072 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
License✔ Licensed in WA · AP70094717
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License RN60417384 (WA)
901 RAINIER AVE S, Seattle, WA 98144
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael R Black is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294204061
PECOS Enrollment IDI20260521001029
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 Reassignment

Medicare enrollment records show Michael Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conquer Addiction PLLC
24 mi
Multi-Specialty
809 W MAIN ST STE C
Monroe, WA 98272
  • Reassigned Medicare billing, Washington enrollment
  • 7 clinicians in this Medicare group
NPI 1255001624 (206) 552-0882

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 98144 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 20

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

CARI KIM DICKSON LPN
Licensed Practical Nurse
901 RAINIER AVE S
SEATTLE, WA 98144
King County (206) 470-3880
QUANDRACO RAYFIELD FLIPPEN-THOMPSON
Counselor (Mental Health)
901 RAINIER AVE S
SEATTLE, WA 98144
King County (206) 470-3880
EUGENE VINCENT DEFELICE
Student in an Organized Health Care Education/Training Program
901 RAINIER AVE S
SEATTLE, WA 98144
King County (206) 470-3869
JENNIFER MARIE MCPHERSON
Peer Specialist
901 RAINIER AVE S
SEATTLE, WA 98144
King County (206) 470-3856
MARISSA MAE BUSBY CDPT
Student in an Organized Health Care Education/Training Program
901 RAINIER AVE S
SEATTLE, WA 98144
King County (206) 470-3856
RACHAEL MARILYN HILL
Case Manager/Care Coordinator
901 RAINIER AVE S
SEATTLE, WA 98144
King County (206) 470-3856
MELISSA JEAN KINYOUN CDPT
Student in an Organized Health Care Education/Training Program
901 RAINIER AVE S
SEATTLE, WA 98144
King County (206) 470-3856
STEVEN LEE CAMPBELL CDPT
Counselor (Addiction (Substance Use Disorder))
901 RAINIER AVE S
SEATTLE, WA 98144
King County (206) 470-3856

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 Michael Black's NPI number?

The NPI number for Michael Black is 1750858072. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Where is Michael Black located?

Michael Black practices at 901 Rainier Ave S, Seattle, WA 98144. The listed phone number is (206) 470-3880.

What is Michael Black's specialty?

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

Is Michael Black enrolled in Medicare?

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

Which organization bills Medicare for Michael Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Black reassigns Medicare benefits to Conquer Addiction PLLC (Monroe, WA). The 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 Michael Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Black accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Michael 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 Michael Black was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.