Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTEN HAAS BLACK D.O.
NPI 1982965034
Obstetrics & Gynecology in Riverton, UT

Q: What is Kristen Black's NPI number?

The NPI number for Kristen Black is 1982965034. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Q: What is Kristen Black's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Black was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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 June 05, 2012PECOS EnrolledAccepts Medicare Assignment

3723 W 12600 S STE 360, RIVERTON, UT 84065(801) 285-4700(801) 285-4701 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kristen Haas Black D.o. NPPES

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

KRISTEN HAAS BLACK D.O. (NPI 1982965034) is an individual obstetrics & gynecology provider in Riverton, Utah, licensed in Utah (9732284-1204) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Riverton Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1982965034

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKRISTEN HAAS BLACKCredential: D.O.

Location Address3723 W 12600 S STE 360Riverton, UT 84065-7296

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 285-4700

Phone(801) 285-4700

Fax(801) 285-4701

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 5, 2012

Last NPPES UpdateJune 8, 2026

NPPES CertifiedJune 8, 2026

✔ NPI 1982965034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in UT · 9732284-1204✔ Licensed in MI · 5101019941

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3723 W 12600 S STE 360, Riverton, UT 84065

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Kristen Haas Black D.o. 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 ID3476842840

PECOS Enrollment IDI20160525001814

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.

Hospital Affiliations CMS Care Compare

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

Riverton Hospital

Acute Care Hospitals · Riverton, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460058

Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84065 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

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 6

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

KELLIE GARRETT

Advanced Practice Midwife