MELANIE ANNE BLACK AGNP-C
NPI 1750999470
Nurse Practitioner - Primary Care in Bend, OR
About Melanie Anne Black Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELANIE ANNE BLACK AGNP-C (NPI 1750999470) is an individual primary care provider in Bend, Oregon, licensed in Vermont (101.0134595) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains a secondary practice location in White River Junction.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Melanie Anne Black Agnp-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Charles Medical Center - Bend
Acute Care Hospitals · Bend, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Melanie Black's NPI number?
The NPI number for Melanie Black is 1750999470. It was assigned to this individual provider in the NPPES registry on July 20, 2020.
Where is Melanie Black located?
Melanie Black practices at 2165 NW Shevlin Park Rd, Bend, OR 97703. The listed phone number is (541) 389-7741.
What is Melanie Black's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Melanie Black enrolled in Medicare?
Yes. Melanie 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.
What insurance does Melanie Black accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Melanie 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.
Is Melanie Black affiliated with any hospitals?
According to CMS data, Melanie Black is affiliated with St Charles Medical Center - Bend.
When was this NPI record last updated?
The NPPES record for Melanie Black was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Melanie Anne Black, AGNP-C · NPI 1750999470
Primary Care physician in Bend, Oregon. Individual provider, active in the CMS NPPES registry since July 20, 2020.
## Identity
- **NPI:** 1750999470 (Entity type: Individual)
- **Enumerated:** July 20, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 101.0134595 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 2165 NW SHEVLIN PARK RD, Bend, OR 97703-7101
- **Phone:** (541) 389-7741
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 6, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1750999470) · Data from the CMS NPPES public registry.