CHELISE BLACK NP-C
NPI 1952811515
Nurse Practitioner - Family in Ogden, UT

Active since October 09, 2017PECOS EnrolledAccepts Medicare Assignment
4403 HARRISON BLVD STE 3630, OGDEN, UT 84403(801) 387-7900 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Oct 9, 2017 (2 updates tracked since 2017).

About Chelise Black Np-c NPPES

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

CHELISE BLACK NP-C (NPI 1952811515) is an individual family provider in Ogden, Utah, licensed in Utah (5645223-4405) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and maintains a secondary practice location in West Jordan.

NPPES Registry Identity

NPI1952811515
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHELISE BLACKCredential: NP-C
Location Address4403 HARRISON BLVD STE 3630Ogden, UT 84403-3287
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 9, 2017
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1952811515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in UT · 5645223-4405
4403 HARRISON BLVD STE 3630, Ogden, UT 84403

Secondary Practice Location 1

Location 13590 W 9000 S Ste 240West Jordan, UT 84088-8864 · Phone (801) 964-3697

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

Chelise Black Np-c 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 ID244597813
PECOS Enrollment IDI20171207000114
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 4

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 with moderate level of decision making, if using time, 30 minutes or more 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.
349 services121 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
260 services110 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
206 services74 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Bear River Valley Hospital

Acute Care Hospitals · Tremonton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460039
Location905 North 1000 WestTremonton, UT 84337 · Box Elder County
Emergency services Birthing friendly

Intermountain Health Layton Hospital

Acute Care Hospitals · Layton, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460061
Location201 West Layton ParkwayLayton, UT 84041 · Davis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers46 claims596 services$17.82 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers48 claims1,437 services$2.35 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers20 claims20 services$173.16 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
21 suppliers60 claims225 services$6.06 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers55 claims55 services$303.81 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers23 claims2,580 services$7.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
4403 HARRISON BLVD STE 3630
OGDEN, UT 84403
Internal Medicine (Hospice and Palliative Medicine)
4403 HARRISON BLVD STE 3630
OGDEN, UT 84403
Internal Medicine (Infectious Disease)
4403 HARRISON BLVD STE 3630
OGDEN, UT 84403
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4403 HARRISON BLVD STE 3630
OGDEN, UT 84403
Social Worker (Clinical)
4403 HARRISON BLVD STE 3630
OGDEN, UT 84403
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4403 HARRISON BLVD STE 3630
OGDEN, UT 84403
Nurse Practitioner (Family)
4403 HARRISON BLVD STE 3630
OGDEN, UT 84403
Family Medicine
4403 HARRISON BLVD STE 3630
OGDEN, UT 84403

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 Chelise Black's NPI number?

The NPI number for Chelise Black is 1952811515. It was assigned to this individual provider in the NPPES registry on October 9, 2017.

Where is Chelise Black located?

Chelise Black practices at 4403 Harrison Blvd Ste 3630, Ogden, UT 84403. The listed phone number is (801) 387-7900.

What is Chelise Black's specialty?

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

Is Chelise Black enrolled in Medicare?

Yes. Chelise 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 Chelise Black accept?

Health plans from Select Health list Chelise 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 Chelise Black affiliated with any hospitals?

According to CMS data, Chelise Black is affiliated with Mckay-Dee Hospital, Bear River Valley Hospital and Intermountain Health Layton Hospital.

When was this NPI record last updated?

The NPPES record for Chelise Black was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.