| Ellie Catharine Black, FNP-C | |
|
5265 Vista Blvd Bldg B, Sparks, NV 89436-0836 | |
| (775) 352-5335 | |
| (775) 352-5334 |
| Full Name | Ellie Catharine Black |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962009324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 832783 (Nevada) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 95014901 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tahoe Forest Hospital | Truckee, CA | Hospital |
| Incline Village Community Hospital | Incline village, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tahoe Forest Hospital District | 0446161335 | 140 |
| Tahoe Forest Hospital District | 0446161335 | 140 |
| Entity Name | Tahoe Forest Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1801957667 PECOS PAC ID: 0446161335 Enrollment ID: O20040821000218 |
| 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 |
Lorraine Kay Bonaldi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Pyramid Way Ste 208, Sparks, NV 89431 Phone: 775-287-8102 |
Shonda Marie Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5975 S Los Altos Pkwy, Sparks, NV 89436 Phone: 775-204-4000 Fax: 775-234-4605 |
Eileen Philbin-muldoon, APN Nurse Practitioner Medicare: Accepting Medicare Assignments 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 |
Nicolette Perrin, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Galletti Way, Sparks, NV 89431 Phone: 775-982-8870 Fax: 775-982-8871 |
Hillarie May Lara, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 780 Vista Blvd Ste 100, Sparks, NV 89434 Phone: 775-348-8800 Fax: 833-687-1419 |
Emili Jeanne Striggow Chavez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2350 Wingfield Hills Rd, Sparks, NV 89436 Phone: 877-279-5960 |