MS. KISHA RENEE BLACK APRN
NPI 1760182893
Nurse Practitioner - Family in Jacksonville, FL
About Ms. Kisha Renee Black Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KISHA RENEE BLACK APRN (NPI 1760182893) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11023957) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kisha Renee Black Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Kisha Black reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32216
- Reassigned Medicare billing, Florida enrollment
- 16 clinicians in this Medicare group
Jacksonville, FL 32217
- Reassigned Medicare billing, Florida enrollment
- 32 clinicians in this Medicare group
Jacksonville, FL 32217
- Reassigned Medicare billing, Florida enrollment
- 23 clinicians in this Medicare group
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- 492 clinicians in this Medicare group
Panama City, FL 32401
- Reassigned Medicare billing, Florida enrollment
- 281 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 32216 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
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 Kisha Black's NPI number?
The NPI number for Kisha Black is 1760182893. It was assigned to this individual provider in the NPPES registry on March 7, 2023.
Where is Kisha Black located?
Kisha Black practices at 3625 University Blvd. S., Jacksonville, FL 32216. The listed phone number is (904) 702-6089.
What is Kisha Black's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kisha Black enrolled in Medicare?
Yes. Kisha Black is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kisha Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kisha Black reassigns Medicare benefits to 5 organizations: Black Bag Medical Inc (Jacksonville, FL), Jacksonville Hospitalists PA (Jacksonville, FL), Symphony Specialty Group, LLC (Jacksonville, FL), Hni Medical Services Of Florida, LLC (Jacksonville, FL) and Hni Hospital Services Of Florida, LLC (Panama City, FL). Each 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 Kisha Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kisha Black was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ms. Kisha Renee Black, APRN · NPI 1760182893
Family physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since March 7, 2023.
## Identity
- **NPI:** 1760182893 (Entity type: Individual)
- **Enumerated:** March 7, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11023957 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3625 UNIVERSITY BLVD. S., Jacksonville, FL 32216
- **Phone:** (904) 702-6089
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Black Bag Medical Inc (NPI 1750440988, Jacksonville, FL); Jacksonville Hospitalists PA (NPI 1871535492, Jacksonville, FL); Symphony Specialty Group, LLC (NPI 1831878735, Jacksonville, FL); Hni Medical Services Of Florida, LLC (NPI 1679048284, Jacksonville, FL); Hni Hospital Services Of Florida, LLC (NPI 1144851411, Panama City, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1760182893) · Data from the CMS NPPES public registry.