MR. DALLAS BLACK ARNP
NPI 1760156665
Nurse Practitioner - Acute Care in Ottumwa, IA

Active since August 04, 2021PECOS EnrolledAccepts Medicare Assignment
1011 PENNSYLVANIA AVE, OTTUMWA, IA 52501(641) 682-7511 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2022, Dec 18, 2021, Aug 4, 2021 (3 updates tracked since 2021).

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

NPI1760156665
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. DALLAS BLACKCredential: ARNP
Location Address1011 PENNSYLVANIA AVEOttumwa, IA 52501-2129
Mailing AddressPo Box 1179Ottumwa, IA 52501-7179 · (319) 800-9600
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 4, 2021
Last NPPES UpdateJanuary 21, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
NPI 1760156665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in IA · H165013
1011 PENNSYLVANIA AVE, Ottumwa, IA 52501

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

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.

PECOS PAC ID9931577590
PECOS Enrollment IDI20221201002845
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 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.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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.

What insurance does Dallas Black accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer 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.