MR. JASON L BLACK APRN-C
NPI 1306013305
Nurse Practitioner - Family in Lebanon, TN

NPI Status: Active since May 09, 2008

Contact Information

1407 W BADDOUR PKWY
LEBANON, TN
ZIP 37087
Phone: (615) 444-6203
Fax: (615) 444-6252

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  • Individual
  • Male
  • Years of Experience 20
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About JASON BLACK

This page provides the complete NPI Profile along with additional information for Jason Black, a provider established in Lebanon, Tennessee with a medical specialization in Nurse Practitioner, focusing in family and more than 20 years of experience. He graduated from Vanderbilt University School Of Medicine in 2006. The healthcare provider is registered in the NPI registry with number 1306013305 assigned on May 2008. The practitioner's primary taxonomy code is 363LF0000X with license number 12510 (TN). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1306013305
Provider Name
MR. JASON L BLACK APRN-C
Gender
Male
Entity Type
Individual
Location Address
1407 W BADDOUR PKWY LEBANON, TN 37087
Location Phone
(615) 444-6203
Location Fax
(615) 444-6252
Mailing Address
1407 W BADDOUR PKWY LEBANON, TN 37087
Mailing Phone
(615) 444-6203
Mailing Fax
(615) 444-6252
Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
05-09-2008
Last Update Date
06-11-2020
Code Navigator

A nurse practitioner (NP) like Jason Black is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 1600 US Highway 79 S
    Henderson, TX 75654
    (903) 717-3260

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
12510
License State
TN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

AP145757 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold (QualChoice) - POS
  • Elite Gold (QualChoiceLife) - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Everyday Silver (QualChoiceLife) - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Standard Gold - PPO
  • Standard Gold + Vision + Adult Dental - PPO
  • Standard Silver - PPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Wellmark Bronze HDHP HMO HSA Qualified - HMO
  • Wellmark Bronze Traditional HMO - HMO
  • Wellmark Gold Traditional HMO - HMO
  • Wellmark Silver Traditional HMO - HMO
  • Wellmark Standard Bronze HMO - HMO
  • Wellmark Standard Gold HMO - HMO
  • Wellmark Standard Silver HMO - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1671330OTHER (01)TNCIGNA
3323078OTHER (01)TNUHC
12242516OTHER (01)TNCAQH
12510OTHER (01)TNADVANCED PRACTICE NURSE NUMBER
270851352OTHER (01)TNAETNA
1524683MEDICAID (05)TN 
141492OTHER (01)TNTN REGISTERED NURSE
62-1792161OTHER (01)TNTRICARE
4298132OTHER (01)TNBCBS

Medicare Participation & PECOS Enrollment Status

Jason Black is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Jason Black is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4284812603

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210914001715

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 37087 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.53
  • Minimum New Patient Price $52.64
  • Maximum New Patient Price $160.89
  • Average New Patient Copayment $20.38
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.6
  • Minimum Established Patient Price $16.72
  • Maximum Established Patient Price $131.41
  • Average Established Patient Copayment $23.4
  • Minimum Established Patient Copayment $4.18
  • Maximum Established Patient Copayment $32.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MR. JASON L BLACK APRN-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306013305
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
230601630
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 0 + 1 + 6 + 3 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1306013305 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215995972DR. ROGER E MCKINNEY M.D.
Individual
Family Medicine1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1295805794FAMILY MEDICAL PC
Organization
Specialist1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1255526380 KEITH T WINFREE APRN-C
Individual
Nurse Practitioner1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1629245634MRS. BENITA K QUALLS P.A.
Individual
Physician Assistant1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1083881064MS. JAIME CHRISTEN BLAYLOCK APRN-C
Individual
Nurse Practitioner (Family)1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1073742250MR. RICHARD A. KINCAID APRN-C
Individual
Nurse Practitioner (Family)1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1922359025DR. JOHN WILLIAM DEASON III PHARMD
Individual
Pharmacist1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1487610069 ERIN MCCULLOCH CRISP PAC
Individual
Physician Assistant (Medical)1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1417296807MRS. CHRISTINE CORPUZ KOWAL FNP-BC
Individual
Nurse Practitioner (Family)1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1235145459DR. JAMES M REED DO
Individual
General Practice1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1790708097 JOHN W FISK JR. MD
Individual
Family Medicine1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1144288747DR. GEORGE WILLIAM ROBERTSON II MD
Individual
Internal Medicine1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1174669998DR. BERNARD T SY MD
Individual
Internal Medicine1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1124150016 SAMUEL JOHN CRUTCHER M.D.
Individual
Family Medicine1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1750145330 ADELIA LEE BIRDWELL PA-C
Individual
Physician Assistant1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1407687999 WILLIAM JOEL MCCALL PA-C
Individual
Physician Assistant1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203
1528570892 KELLY WENTZEL PA
Individual
Physician Assistant1407 W BADDOUR PKWY
LEBANON, TN 37087
(615) 444-6203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306013305, enumerated in the NPI registry as an "individual" on May 09, 2008

The provider is located at 1407 W Baddour Pkwy Lebanon, Tn 37087 and the phone number is (615) 444-6203

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider has more than 20 years of experience. He graduated from Vanderbilt University School Of Medicine in 2006.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $81.53 with an average copayment of $20.38 for new patient appointments. Established patients should expect a typical charge of $93.6 and an average copayment of 23.4. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on May 09, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.