Kimberly Ann Black, - Medicare Nurse Practitioner in Garfield Heights, OH

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Kimberly Ann Black, is a medicare enrolled "Nurse Practitioner - Family" in Garfield Heights, Ohio. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Proxy Healthcare Llc and her current practice location is 10500 Antenucci Blvd., Garfield Heights, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 891-6500.

Kimberly Ann Black is licensed to practice in Ohio (license number APRN.CNP.0028206) 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 1578153953.

Contact Information

Kimberly Ann Black,
10500 Antenucci Blvd.,
Garfield Heights, OH 44125
(440) 891-6500
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Ann Black
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location10500 Antenucci Blvd., Garfield Heights, Ohio
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:
  • Kimberly Ann Black graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1578153953
  • Provider Enumeration Date: 01/20/2021
  • Last Update Date: 01/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0042619637
  • Enrollment ID: I20210602001332

Medical Identifiers

Medical identifiers for Kimberly Ann Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578153953NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.0028206 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Proxy Healthcare Llc65073995242

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. Kimberly Ann Black allows following entities to bill medicare on her behalf.
Entity NameIncare Health Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235422403
PECOS PAC ID: 5092980730
Enrollment ID: O20111208000530
Entity NameConsonant Healing Associates Of De Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669099321
PECOS PAC ID: 2466871694
Enrollment ID: O20211012002929
Entity NameRegional Healthcare Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407587363
PECOS PAC ID: 8224412234
Enrollment ID: O20230504002616
Entity NameGuardian Biologics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033890876
PECOS PAC ID: 8123481470
Enrollment ID: O20241113002388
Entity NameProxy Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396582730
PECOS PAC ID: 6507399524
Enrollment ID: O20250115001587
Entity NameMobile Wound Care Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548070014
PECOS PAC ID: 0547783730
Enrollment ID: O20250402003333
Entity NameArvada Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144035346
PECOS PAC ID: 3971027673
Enrollment ID: O20250403001480

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. Kimberly Ann 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
Kimberly Ann Black,
4283 Ridgeland Cir,
Cleveland, OH 44135-1000

Ph: (216) 906-4786		Kimberly Ann Black,
10500 Antenucci Blvd.,
Garfield Heights, OH 44125

Ph: (440) 891-6500

Reviews and Comments


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Lauren Deniese Taylor, CNP
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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.