MS. THERESA ANN BLACK FNP-BC
NPI 1790982080
Nurse Practitioner - Family in Buckhannon, WV

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
11 N LOCUST ST, BUCKHANNON, WV 26201(304) 472-1600 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Theresa Ann Black Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. THERESA ANN BLACK FNP-BC (NPI 1790982080) is an individual family provider in Buckhannon, West Virginia, licensed in West Virginia (49062) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Davis Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1790982080
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. THERESA ANN BLACKCredential: FNP-BC
Location Address11 N LOCUST STBuckhannon, WV 26201-4707
Mailing Address812 Gorman AvenueElkins, WV 26241 · (304) 637-3456 · Fax (304) 637-3441
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 29, 2007
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
NPI 1790982080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WV · 49062
Also ListedNurse PractitionerTaxonomy 363L00000X · License 49062 (WV)
11 N LOCUST ST, Buckhannon, WV 26201

Other Names 1

Other Name (5)Theresa Ann Black Fnp-bc

Other Identifiers 1

Medicaid3810009382WV

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

Ms. Theresa Ann Black Fnp-bc 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 ID1254423080
PECOS Enrollment IDI20070823000695
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services33 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Davis Medical Center

Acute Care Hospitals · Elkins, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510030
Location812 Gorman AvenueElkins, WV 26241 · Randolph County
Emergency services Birthing friendly

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26201 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Geriatric Medicine)
11 N LOCUST ST
BUCKHANNON, WV 26201
Internal Medicine
11 N LOCUST ST
BUCKHANNON, WV 26201
Family Medicine
11 N LOCUST ST
BUCKHANNON, WV 26201
Family Medicine
11 N LOCUST ST
BUCKHANNON, WV 26201
Family Medicine
11 N LOCUST ST
BUCKHANNON, WV 26201
Physician Assistant
11 N LOCUST ST
BUCKHANNON, WV 26201
Clinical Medical Laboratory
11 N LOCUST ST
BUCKHANNON, WV 26201
Clinic/Center (Rural Health)
11 N LOCUST ST
BUCKHANNON, WV 26201

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 Theresa Black's NPI number?

The NPI number for Theresa Black is 1790982080. It was assigned to this individual provider in the NPPES registry on June 29, 2007. The provider is also known as Theresa Ann Black Fnp-Bc.

Where is Theresa Black located?

Theresa Black practices at 11 N Locust St, Buckhannon, WV 26201. The listed phone number is (304) 472-1600.

What is Theresa Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theresa Black enrolled in Medicare?

Yes. Theresa 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 Theresa Black accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Theresa 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 Theresa Black affiliated with any hospitals?

According to CMS data, Theresa Black is affiliated with Davis Medical Center and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Theresa Black was last updated on November 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.