KELLY BLACK
NPI 1881928299
Nurse Anesthetist, Certified Registered in Amarillo, TX
About Kelly Black NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY BLACK (NPI 1881928299) is an individual nurse anesthetist, certified registered in Amarillo, Texas, licensed in Texas (675500) and active in the NPI registry since October 2009. He is a graduate of Other (2009).
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
Kelly Black 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 Reassignments
4Medicare enrollment records show Kelly Black reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76109
- Reassigned Medicare billing, Texas enrollment
- 1,612 clinicians in this Medicare group
Southlake, TX 76092
- Reassigned Medicare billing, Texas enrollment
- 447 clinicians in this Medicare group
Arlington, TX 76006
- Reassigned Medicare billing, Texas enrollment
- 1,164 clinicians in this Medicare group
Arlington, TX 76015
- Reassigned Medicare billing, Texas enrollment
- 23 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.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 79106 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AMARILLO, TX 79106
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 Kelly Black's NPI number?
The NPI number for Kelly Black is 1881928299. It was assigned to this individual provider in the NPPES registry on October 1, 2009.
Where is Kelly Black located?
Kelly Black practices at 7100 W 9th Ave, Amarillo, TX 79106. The listed phone number is (806) 212-0247.
What is Kelly Black's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kelly Black enrolled in Medicare?
Yes. Kelly 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 organizations bill Medicare for Kelly Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Black reassigns Medicare benefits to 4 organizations: Emergenchealth PLLC (Fort Worth, TX), Texas Anesthesia Partners, PLLC (Southlake, TX), Northstar Anesthesia, PA (Arlington, TX) and Patriot Anesthesia (Arlington, TX). 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 Kelly Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Black accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Kelly 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 Kelly Black was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kelly Black · NPI 1881928299
Nurse Anesthetist, Certified Registered physician in Amarillo, Texas. Individual provider, active in the CMS NPPES registry since October 1, 2009.
## Identity
- **NPI:** 1881928299 (Entity type: Individual)
- **Enumerated:** October 1, 2009
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 675500 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7100 W 9TH AVE, Amarillo, TX 79106-1704
- **Phone:** (806) 212-0247
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Emergenchealth PLLC (NPI 1467970897, Fort Worth, TX); Texas Anesthesia Partners, PLLC (NPI 1144673468, Southlake, TX); Northstar Anesthesia, PA (NPI 1912978610, Arlington, TX); Patriot Anesthesia (NPI 1720589310, Arlington, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** May 14, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1881928299) · Data from the CMS NPPES public registry.