MICHAELA BLACK PMHNP
NPI 1962268607
Nurse Practitioner - Psychiatric/Mental Health in Englewood, CO

Active since February 21, 2024PECOS EnrolledAccepts Medicare Assignment
304 INVERNESS WAY S STE 225, ENGLEWOOD, CO 80112(970) 310-3406 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2026, Mar 2, 2026, May 20, 2025 and 2 more (5 updates tracked since 2025).

About Michaela Black Pmhnp NPPES

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

MICHAELA BLACK PMHNP (NPI 1962268607) is an individual psychiatric/mental health provider in Englewood, Colorado, licensed in Colorado (APN.1000567-NP) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1962268607
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAELA BLACKCredential: PMHNP
Location Address304 INVERNESS WAY S STE 225Englewood, CO 80112-5841
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · Fax (888) 965-4615
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 21, 2024
Last NPPES UpdateApril 21, 20265 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
NPI 1962268607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CO · APN.1000567-NP
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.1655261 (CO)
304 INVERNESS WAY S STE 225, Englewood, CO 80112

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

Michaela Black Pmhnp 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 ID5294258026
PECOS Enrollment IDI20250402000681
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80112 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 13

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

Counselor (Professional)
304 INVERNESS WAY S STE 225
ENGLEWOOD, CO 80112
Counselor (Professional)
304 INVERNESS WAY S STE 225
ENGLEWOOD, CO 80112
Social Worker
304 INVERNESS WAY S STE 225
ENGLEWOOD, CO 80112
Counselor (Mental Health)
304 INVERNESS WAY S STE 225
ENGLEWOOD, CO 80112
Nurse Practitioner (Psychiatric/Mental Health)
304 INVERNESS WAY S STE 225
ENGLEWOOD, CO 80112
Counselor (Professional)
304 INVERNESS WAY S STE 225
ENGLEWOOD, CO 80112
Social Worker (Clinical)
304 INVERNESS WAY S STE 225
ENGLEWOOD, CO 80112
Counselor (Professional)
304 INVERNESS WAY S STE 225
ENGLEWOOD, CO 80112

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 Michaela Black's NPI number?

The NPI number for Michaela Black is 1962268607. It was assigned to this individual provider in the NPPES registry on February 21, 2024.

Where is Michaela Black located?

Michaela Black practices at 304 Inverness Way S Ste 225, Englewood, CO 80112. The listed phone number is (970) 310-3406.

What is Michaela Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michaela Black enrolled in Medicare?

Yes. Michaela 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 Michaela Black accept?

Health plans from Providence Health Plan list Michaela 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 Michaela Black was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.