Jennifer K Black, NP - Medicare Nurse Practitioner in Springfield, IL

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Jennifer K Black, NP is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Springfield, Illinois. She graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prairie Cardiovascular Consultants Ltd and 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
SpecialityNurse Practitioner
Experience25 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 graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1174607576
  • Provider Enumeration Date: 10/24/2006
  • Last Update Date: 12/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163444894
  • Enrollment ID: I20051222000251

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

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Johns HospitalSpringfield, ILHospital
Hillsboro Area HospitalHillsboro, ILHospital
Hshs Holy Family Hospital IncGreenville, ILHospital
Memorial Medical CenterSpringfield, ILHospital
St Francis HospitalLitchfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prairie Cardiovascular Consultants Ltd317343588090

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer K Black allows following entities to bill medicare on her behalf.
Entity NamePrairie Cardiovascular Consultants Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982714218
PECOS PAC ID: 3173435880
Enrollment ID: O20031103000090
Entity NamePrairie Cardiovascular Consultants Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659539559
PECOS PAC ID: 3173435880
Enrollment ID: O20031111000337
Entity NameHillsboro Area Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821078213
PECOS PAC ID: 4486547148
Enrollment ID: O20040205000911
Entity NameHshs Holy Family Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205850690
PECOS PAC ID: 7517879349
Enrollment ID: O20040216000198

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.