MS. RENAE LAREE BLACK CNM
NPI 1962464057
Midwife in El Cajon, CA
About Ms. Renae Laree Black Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. RENAE LAREE BLACK CNM (NPI 1962464057) is an individual midwife in El Cajon, California, licensed in California (446374) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Renae Laree Black Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Renae Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EL CAJON, CA 92020
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 Renae Black's NPI number?
The NPI number for Renae Black is 1962464057. It was assigned to this individual provider in the NPPES registry on April 4, 2006.
Where is Renae Black located?
Renae Black practices at 250 Travelodge Dr Kaiser Permanente, El Cajon, CA 92020. The listed phone number is (619) 441-3021.
What is Renae Black's specialty?
The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.
Is Renae Black enrolled in Medicare?
Yes. Renae Black is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Renae Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renae Black reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Renae Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Renae Black was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.