Kristen Elaine Black, CRNP - Medicare Nurse Practitioner in Hagerstown, MD

Kristen Elaine Black, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Hagerstown, Maryland. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Primary Care Associates Of Hagerstown, Llc, Meritus Medical Center Inc and her current practice location is 354 Mill St, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 797-0210.

Kristen Elaine Black is licensed to practice in Maryland (license number R209202) 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 1730767302.

Contact Information

Kristen Elaine Black, CRNP
354 Mill St,
Hagerstown, MD 21740-6138
(301) 797-0210
Not Available

Map and Direction




Provider's Profile

Full NameKristen Elaine Black
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location354 Mill St, Hagerstown, Maryland
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:
  • Kristen Elaine Black graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1730767302
  • Provider Enumeration Date: 04/01/2021
  • Last Update Date: 11/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8426440306
  • Enrollment ID: I20240418003202

Medical Identifiers

Medical identifiers for Kristen Elaine Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730767302NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology R209202 (Maryland)Primary
363LG0600XNurse Practitioner - Gerontology SP023459 (Pennsylvania)Secondary
363LG0600XNurse Practitioner - Gerontology RN706137 (Maryland)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Home Call - FrederickFrederick, MDHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Primary Care Associates Of Hagerstown, Llc22646205583
Meritus Medical Center Inc7113811795563

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. Kristen Elaine Black allows following entities to bill medicare on her behalf.
Entity NamePrimary Care Associates Of Hagerstown, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083803530
PECOS PAC ID: 2264620558
Enrollment ID: O20110103000018

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. Kristen Elaine 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
Kristen Elaine Black, CRNP
354 Mill St,
Hagerstown, MD 21740-6138

Ph: (301) 676-0160
Kristen Elaine Black, CRNP
354 Mill St,
Hagerstown, MD 21740-6138

Ph: (301) 797-0210

Reviews and Comments


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Phone: 301-797-0210    Fax: 301-791-6514
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Phone: 240-313-9890    

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.