CMS-1500 Box 24J / 33a • NPI
1427809656
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
8910 BROAD ST SW, PATASKALA, OH, 43062-7886
✓ 9-Digit EDI 837 ZIP+4 (43062-7886)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1427809656 (JENNIFER BLACK, MSN, APRN, FNP-BC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1427809656)
Medicare Beneficiaries
54
Total Billed Services
109
Distinct CPT/HCPCS Codes
16
Medicare Allowed Total
$6,938.15
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
90480 | Admn sarscov2 vacc 1 dose | 11 |
90662 | Influenza vaccine split virus, preservative free | 11 |
91320 | Sarscv2 vac 30mcg trs-suc im | 11 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 11 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 23 |
G0008 | Administration of influenza virus vaccine | 13 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1427809656 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JENNIFER BLACK, MSN, APRN, FNP-BC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 8910 BROAD ST SW, PATASKALA, OH, 43062-7886 |
| Practice Telephone / Fax | Tel: (740) 927-6705 |
| Administrative Mailing Address | 1215 BROOKRIDGE DR, COLUMBUS, OH, 43235-4004 |
| Enumeration & Last Sync | Enumerated: 2024-03-27 | CMS Record Updated: 2024-03-30 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JENNIFER BLACK, MSN, APRN, FNP-BC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: OH | License: APRN.CNP.0033046 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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