Mrs Heather Black, FNP-BC, PMHNP in Wilmington, NC

Mrs Heather Black, FNP-BC, PMHNP is a medicare enrolled "Nurse Practitioner" in Wilmington, North Carolina. 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 Family Ties Of Brunswick, Llc, Cs Pacs 3 Southeast Llc, Coastal Horizons Center, Inc. and her current practice location is 720 N 3rd St Ste 401, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 769-9126.

Mrs Heather Black is licensed to practice in North Carolina (license number 5013805) 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 1447850458.

Contact Information

	Mrs Heather Black, FNP-BC, PMHNP
	720 N 3rd St Ste 401, Wilmington, NC 28401-3474
	(910) 769-9126
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Heather Black
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	720 N 3rd St Ste 401, Wilmington, North Carolina
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:

Mrs Heather Black graduated from nursing school in 2020

NPI Data:

NPI Number: 1447850458
Provider Enumeration Date: 10/28/2020
Last Update Date: 09/26/2025

Medicare PECOS Information:

PECOS PAC ID: 1355758087
Enrollment ID: I20210325001164

Medical Identifiers

Medical identifiers for Mrs Heather Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447850458	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	5013805 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5013805 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5013805 (North Carolina)	Primary
363LF0000X	Nurse Practitioner - Family	5013805 (North Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Ties Of Brunswick, Llc	7911309430	5
Cs Pacs 3 Southeast Llc	8426404302	95
Coastal Horizons Center, Inc.	9739267964	43

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. Mrs Heather Black allows following entities to bill medicare on her behalf.

Entity Name	Inpatient Consultants Of North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669422846 PECOS PAC ID: 5991720591 Enrollment ID: O20051012001172

Entity Name	Coastal Horizons Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922022607 PECOS PAC ID: 9739267964 Enrollment ID: O20080429000046

Entity Name	Nm Pacs 2 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366928749 PECOS PAC ID: 3375892060 Enrollment ID: O20200109003016

Entity Name	Family Ties Of Brunswick, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831682665 PECOS PAC ID: 7911309430 Enrollment ID: O20210707000615

Entity Name	Cs Pacs 3 Southeast Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20240815002813

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. Mrs Heather 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
Mrs Heather Black, FNP-BC, PMHNP 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145	Mrs Heather Black, FNP-BC, PMHNP 720 N 3rd St Ste 401, Wilmington, NC 28401-3474 Ph: (910) 769-9126

Reviews and Comments

Nurse Practitioner Nurses in Wilmington, NC

Travis Aaron Finkle, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2909 Market St, Wilmington, NC 28403 Phone: 910-687-4888
Carolyn Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970
Valerie Lynn Wegener, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8108b Market St, Wilmington, NC 28411 Phone: 910-341-3300 Fax: 910-251-2067
Mrs. Shannon Boney Mathis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 Medical Center Dr, Wilmington, NC 28401 Phone: 910-662-8550 Fax: 910-343-1924
Nannette B Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-772-9202 Fax: 910-772-9452
Elizabeth Granger, NNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970
Kelly B Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2334 41st St, Wilmington, NC 28403 Phone: 910-641-4095

Mrs Heather Black, FNP-BC, PMHNP - Medicare Nurse Practitioner in Wilmington, NC