Ellie Catharine Black, FNP-C in Sparks, NV - Medicare Nurse Practitioner

Ellie Catharine Black, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sparks, Nevada. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tahoe Forest Hospital District and her current practice location is 5265 Vista Blvd Bldg B, Sparks, Nevada. You can reach out to her office (for appointments etc.) via phone at (775) 352-5335.

Ellie Catharine Black is licensed to practice in Nevada (license number 832783) 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 1962009324.

Contact Information

	Ellie Catharine Black, FNP-C
	5265 Vista Blvd Bldg B, Sparks, NV 89436-0836
	(775) 352-5335
	(775) 352-5334

Map and Direction

Provider's Profile

Full Name	Ellie Catharine Black
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	5265 Vista Blvd Bldg B, Sparks, Nevada
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellie Catharine Black graduated from nursing school in 2020

NPI Data:

NPI Number: 1962009324
Provider Enumeration Date: 10/07/2020
Last Update Date: 04/16/2021

Medicare PECOS Information:

PECOS PAC ID: 6103236914
Enrollment ID: I20201106000729

Medical Identifiers

Medical identifiers for Ellie Catharine Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962009324	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95014901 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	832783 (Nevada)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tahoe Forest Hospital	Truckee, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tahoe Forest Hospital District	0446161335	105

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. Ellie Catharine Black allows following entities to bill medicare on her behalf.

Entity Name	Tahoe Forest Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750412300 PECOS PAC ID: 0446161335 Enrollment ID: O20050329001397

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. Ellie Catharine 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 Address	Practice Location Address
Ellie Catharine Black, FNP-C 2345 E Prater Way Ste 207, Sparks, NV 89434-9634 Ph: (775) 352-5335	Ellie Catharine Black, FNP-C 5265 Vista Blvd Bldg B, Sparks, NV 89436-0836 Ph: (775) 352-5335

Reviews and Comments

Nurse Practitioner Nurses in Sparks, NV

Lorraine Kay Bonaldi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Pyramid Way Ste 208, Sparks, NV 89431 Phone: 775-287-8102
Eileen Philbin-muldoon, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2244 Oddie Blvd, Sparks, NV 89431 Phone: 775-997-7300
Elizabeth Anne Melton, APRN, FNP, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Pyramid Way Ste 206, Sparks, NV 89431 Phone: 775-771-1390 Fax: 602-354-9272
Danielle Barisone, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5070 Ion Dr, Suite 200, Sparks, NV 89436 Phone: 775-352-5335 Fax: 775-352-5334
Mrs. Janette Mcdougall, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2135 Green Vista Dr Ste 109, Sparks, NV 89431 Phone: 775-359-5010
Carrie Lynn Yamamoto, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2385 E Prater Way Ste 302, Sparks, NV 89434 Phone: 775-387-1616 Fax: 775-387-1777
Autumn Renee Gardner, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3160 Vista Blvd, Sparks, NV 89436 Phone: 775-352-7200 Fax: 775-352-7222

Ellie Catharine Black, FNP-C - Medicare Nurse Practitioner in Sparks, NV