Jennifer K Black, NP - Medicare in Springfield, IL

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Jennifer K Black, NP is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Springfield, Illinois. Her current practice location is 619 E Mason St, Suite 4p57, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 788-0706.

Jennifer K Black is licensed to practice in Illinois (license number 209002373) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174607576.

Contact Information

Jennifer K Black, NP
619 E Mason St, Suite 4p57,
Springfield, IL 62701-1034
(217) 788-0706
(217) 525-2535

Map and Direction




Physician's Profile

Full NameJennifer K Black
GenderFemale
Speciality
Experience Years
Location619 E Mason St, Springfield, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer K Black attended and graduated from in
  NPI Data:
  • NPI Number: 1174607576
  • Provider Enumeration Date: 10/24/2006
  • Last Update Date: 12/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Jennifer K Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174607576NPI-NPPES
596500OtherILRAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology 209002373 (Illinois)Secondary
363LA2200XNurse Practitioner - Adult Health 209002373 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer K Black is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer K Black, NP
Po Box 19420,
Springfield, IL 62794-9420

Ph: (217) 788-0706		Jennifer K Black, NP
619 E Mason St, Suite 4p57,
Springfield, IL 62701-1034

Ph: (217) 788-0706

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.