ELLIE CATHARINE BLACK FNP-C
NPI 1962009324
Nurse Practitioner - Family in Sparks, NV

Q: What is Ellie Black's NPI number?

The NPI number for Ellie Black is 1962009324. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Q: What is Ellie Black's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ellie Black was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 07, 2020PECOS EnrolledAccepts Medicare Assignment

5265 VISTA BLVD BLDG B, SPARKS, NV 89436(775) 352-5335(775) 352-5334 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2021, Oct 7, 2020 (2 updates tracked since 2020).

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About Ellie Catharine Black Fnp-c NPPES

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

ELLIE CATHARINE BLACK FNP-C (NPI 1962009324) is an individual family provider in Sparks, Nevada, licensed in Nevada (832783) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Incline Village Community Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962009324

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELLIE CATHARINE BLACKCredential: FNP-C

Location Address5265 VISTA BLVD BLDG BSparks, NV 89436-0836

Mailing Address2345 E Prater Way Ste 207Sparks, NV 89434-9634 · (775) 352-5335 · Fax (775) 352-5334

Phone(775) 352-5335

Fax(775) 352-5334

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 7, 2020

Last NPPES UpdateApril 16, 20212 updates tracked since enumeration

NPPES CertifiedApril 16, 2021

✔ NPI 1962009324 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 NV · 832783

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 95014901 (CA)

5265 VISTA BLVD BLDG B, Sparks, NV 89436

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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

Ellie Catharine Black Fnp-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 ID6103236914

PECOS Enrollment IDI20201106000729, I20210409001981

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 9

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 low level od decision making, if using time, 20 minutes or more 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.

266 services238 patients

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.

132 services126 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

90 services90 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

70 services64 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

56 services56 patients

Detection test by nucleic acid for multiple types influenza virus 87502

A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.

35 services35 patients

Hospital Affiliations CMS Care Compare

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

Incline Village Community Hospital

Critical Access Hospitals · Incline Village, NV

OwnershipGovernment - Hospital District or Authority

CMS Certification Number291301

Location880 Alder StreetIncline Village, NV 89451 · Washoe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89436 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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 12

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

JOSEPH JAY TEICHGRAEBER MD

Internal Medicine