MR. DALLAS BLACK ARNP
NPI 1760156665
Nurse Practitioner - Acute Care in Ottumwa, IA
About Mr. Dallas Black Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DALLAS BLACK ARNP (NPI 1760156665) is an individual acute care provider in Ottumwa, Iowa, licensed in Iowa (H165013) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Dallas Black Arnp 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 Reassignment
Medicare enrollment records show Dallas Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ottumwa, IA 52501
- Reassigned Medicare billing, Iowa enrollment
- 86 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 52501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Dallas Black's NPI number?
The NPI number for Dallas Black is 1760156665. It was assigned to this individual provider in the NPPES registry on August 4, 2021.
Where is Dallas Black located?
Dallas Black practices at 1011 Pennsylvania Ave, Ottumwa, IA 52501. The listed phone number is (641) 682-7511.
What is Dallas Black's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Dallas Black enrolled in Medicare?
Yes. Dallas 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 organization bills Medicare for Dallas Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dallas Black reassigns Medicare benefits to Ottumwa Health Group LLC (Ottumwa, IA). 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 Dallas Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dallas Black accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Dallas 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 Dallas Black was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Dallas Black, ARNP · NPI 1760156665
Acute Care physician in Ottumwa, Iowa. Individual provider, active in the CMS NPPES registry since August 4, 2021.
## Identity
- **NPI:** 1760156665 (Entity type: Individual)
- **Enumerated:** August 4, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** H165013 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 1011 PENNSYLVANIA AVE, Ottumwa, IA 52501-2129
- **Phone:** (641) 682-7511
## 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:** Ottumwa Health Group LLC (NPI 1639861990, Ottumwa, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1760156665) · Data from the CMS NPPES public registry.