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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kristen Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
0.3 mi
Sleep Medicine
3723 W 12600 S STE 420
Riverton, UT 84065
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1194003640 (801) 285-4870

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 7

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

KELLIE GARRETT
Advanced Practice Midwife
3723 W 12600 S STE 360
RIVERTON, UT 84065
Salt Lake County (801) 285-4700
MICAELA JOY BESSER
Nurse Practitioner
3723 W 12600 S STE 360
RIVERTON, UT 84065
Salt Lake County (801) 285-4700
IHC HEALTH SERVICES INC
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3723 W 12600 S STE 360
RIVERTON, UT 84065
Salt Lake County (801) 285-4700
MRS. NICOLE IOVINO
Obstetrics & Gynecology
3723 W 12600 S STE 360
RIVERTON, UT 84065
Salt Lake County (516) 593-1380
DR. SEAN FREDERICK EDMUNDS MD
Obstetrics & Gynecology
3723 W 12600 S STE 360
RIVERTON, UT 84065
Salt Lake County (801) 205-4700
LINDSAY ARLENE THOMAS
Nurse Practitioner
3723 W 12600 S STE 360
RIVERTON, UT 84065
Salt Lake County (801) 285-4700
MELANIE ANNE CONNELL CNM
Advanced Practice Midwife
3723 W 12600 S STE 360
RIVERTON, UT 84065
Salt Lake County (801) 285-4700

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 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.

Where is Kristen Black located?

Kristen Black practices at 3723 W 12600 S Ste 360, Riverton, UT 84065. The listed phone number is (801) 285-4700.

What is Kristen Black's specialty?

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

Is Kristen Black enrolled in Medicare?

Yes. Kristen 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.

Which organization bills Medicare for Kristen Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Black reassigns Medicare benefits to Ihc Health Services Inc (Riverton, UT). 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 Kristen Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Black accept?

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

According to CMS data, Kristen Black is affiliated with Riverton Hospital.

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 4 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.