Katy A Black, APRN - Medicare Nurse Practitioner in Carbondale, KS

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Katy A Black, APRN is a medicare enrolled "Nurse Practitioner" in Carbondale, Kansas. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cotton-o'neil Clinic Revocable Trust and her current practice location is 211 E Main St, Carbondale, Kansas. You can reach out to her office (for appointments etc.) via phone at (785) 836-7111.

Katy A Black is licensed to practice in Kansas (license number 76631) 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 1043608920.

Contact Information

Katy A Black, APRN
211 E Main St,
Carbondale, KS 66414-9607
(785) 836-7111
Not Available

Map and Direction




Provider's Profile

Full NameKaty A Black
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location211 E Main St, Carbondale, Kansas
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:
  • Katy A Black graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1043608920
  • Provider Enumeration Date: 12/31/2014
  • Last Update Date: 03/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1456677863
  • Enrollment ID: I20150302002362

Medical Identifiers

Medical identifiers for Katy A Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043608920NPI-NPPES
201108160AMedicaidKS
30004450320001MedicaidKS
068002294OtherKSMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 76631 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Stormont Vail HospitalTopeka, KSHospital
University Of Kansas Health System - St Francis CampusTopeka, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cotton-o'neil Clinic Revocable Trust5496659195615

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. Katy A Black allows following entities to bill medicare on her behalf.
Entity NameCotton O'neil Clinic Revocable Trust
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811944457
PECOS PAC ID: 5496659195
Enrollment ID: O20031124000674

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. Katy A 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
Katy A Black, APRN
211 E Main St,
Carbondale, KS 66414-9607

Ph: (785) 836-7111		Katy A Black, APRN
211 E Main St,
Carbondale, KS 66414-9607

Ph: (785) 836-7111

Reviews and Comments


Nurse Practitioner Nurses in Carbondale, KS

Jourdan Nikole Heitschmidt, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 211 Main St, Carbondale, KS 66414
Phone: 785-836-7111    
Jenna D Weekley, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 211 E Main St, Carbondale, KS 66414
Phone: 785-836-7111    
Jessica Nichole Bryant, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 211 E Main St, Carbondale, KS 66414
Phone: 785-836-7111    

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.