JENNIFER LEIGH BLACK APRN
NPI 1710347943
Nurse Practitioner - Psychiatric/Mental Health in Shenandoah, IA
NPI Status: Active since March 01, 2016
Contact Information
1 JACK FOSTER DR
SHENANDOAH, IA
ZIP 51601
Phone: (712) 246-7400
Fax: (712) 246-7319
- Individual
- Female
- Years of Experience 10
- Nurse Practitioner
- Psychiatric/Mental Health
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JENNIFER BLACK
This page provides the complete NPI Profile along with additional information for Jennifer Black, a provider established in Shenandoah, Iowa with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1710347943 assigned on March 2016. The practitioner's primary taxonomy code is 363LP0808X with license number G166344 (IA). The provider is registered as an individual and her NPI record was last updated March 2025.
- NPI
- 1710347943
- Provider Name
- JENNIFER LEIGH BLACK APRN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1 JACK FOSTER DR SHENANDOAH, IA 51601
- Location Phone
- (712) 246-7400
- Location Fax
- (712) 246-7319
- Mailing Address
- 1 JACK FOSTER DR SHENANDOAH, IA 51601
- Mailing Phone
- (712) 246-7400
- Mailing Fax
- (712) 246-7319
- Medical School Name
- OTHER
- Graduation Year
- 2016
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-01-2016
- Last Update Date
- 03-25-2025
- Code Navigator
A nurse practitioner (NP) like Jennifer 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
- 1905 Argyle St
Hamburg, IA 51640
(712) 246-7400
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 Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- G166344
- License State
- IA
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) |
---|---|---|---|---|
1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | A149915 (IA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jennifer Black is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jennifer 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: 5799083051
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: I20200526000024
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? Yes
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 typical physician office visit costs for Medicare beneficiaries in this area are: $20.46 for a new patient copayment and $23.51 for an established patient copayment.
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 51601 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.84
- Minimum New Patient Price $52.96
- Maximum New Patient Price $161.4
- Average New Patient Copayment $20.46
- Minimum New Patient Copayment $13.24
- Maximum New Patient Copayment $40.35
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.05
- Minimum Established Patient Price $16.91
- Maximum Established Patient Price $131.98
- Average Established Patient Copayment $23.51
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $32.99
* 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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jennifer Black is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
SHENANDOAH MEDICAL CENTER | 300 PERSHING AVENUE SHENANDOAH, IA 51601 | (712) 246-1230 | Critical Access Hospitals |
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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. | |||||||||
1 | 7 | 1 | 0 | 3 | 4 | 7 | 9 | 4 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 2 | 0 | 6 | 4 | 14 | 9 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 2 + 0 + 6 + 4 + 1 + 4 + 9 + 8 + 24 = 67 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 67 = 3 | 3 |
The NPI number 1710347943 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1427300201 | SHENANDOAH MEDICAL CENTER Organization | Clinic/Center (Rural Health) | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7240 |
1710917026 | DR. HEATHER LEE BABE M.D. Individual | Family Medicine | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7400 |
1184033300 | SHENANDOAH MEDICAL CENTER Organization | Nurse Practitioner | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7400 |
1730172040 | PAUL ANDREW ROZEBOOM M.D. Individual | Pediatrics (Adolescent Medicine) | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7400 |
1821059510 | DR. BRIAN ANTHONY ROWAN MD Individual | Orthopaedic Surgery | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7400 |
1770718660 | DR. MICHAEL THEODORE SALWITZ MD Individual | Family Medicine | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7400 |
1295761856 | NEBRASKA MEDICAL CENTER Organization | Family Medicine | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7400 |
1376037770 | STEPHANIE ROBINETTE ARNP Individual | Nurse Practitioner (Family) | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7400 |
1841260346 | SHENANDOAH DOCTORS CLINIC Organization | Clinic/Center | 1 JACK FOSTER DR SUITE #447 SHENANDOAH, IA 51601 (712) 246-1000 |
1396189007 | MRS. MELISSA MARIE HOBBIE LMSW Individual | Counselor (Mental Health) | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7423 |
1003027939 | DR. TODD MIKAEL ISAACSON M.D. Individual | Family Medicine | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7400 |
1245404086 | MARTEE R MACLEOD-KOZAL M.D. Individual | Obstetrics & Gynecology | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7054 |
1518055847 | DONALD L BUMGARNER M.D. Individual | Family Medicine | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7400 |
1609015577 | DR. REBECCA JUDENE ROSE MD Individual | Surgery | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7485 |
1639861677 | MRS. CAITLIN ALEXIS CROSBY CLEM LMSW Individual | Social Worker | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7400 |
1447937230 | SHENANDOAH MEDICAL CENTER Organization | Pharmacy (Community/Retail Pharmacy) | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7400 |
1326764093 | RACHEL LAUREN TIMMERMAN APRN Individual | Nurse Practitioner | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7400 |
1134966195 | HOLLY LYNN JORGENSEN FNP, ARNP Individual | Nurse Practitioner (Family) | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7400 |
1124852611 | SHELBY MARIE VANLEUVEN ARNP Individual | Nurse Practitioner (Family) | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7400 |
1801566054 | MRS. CRYSTAL LYNN MICK ARNP, PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1 JACK FOSTER DR SHENANDOAH, IA 51601 (712) 246-7215 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710347943, enumerated in the NPI registry as an "individual" on March 01, 2016
The provider is located at 1 Jack Foster Dr Shenandoah, Ia 51601 and the phone number is (712) 246-7400
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
The provider has more than 10 years of experience.
The provider might be accepting Accepts: UnitedHealthcare and Wellmark Health Plan of Iowa,. 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 $81.84 with an average copayment of $20.46 for new patient appointments. Established patients should expect a typical charge of $94.05 and an average copayment of 23.51. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): SHENANDOAH MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on March 01, 2016. 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].
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