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

Q: 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.

Q: 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.

Q: 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 3 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 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: August 16, 2026.

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

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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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Medicare Participation & PECOS CMS

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

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.

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