Ellie Catharine Black, FNP-C - Medicare Nurse Practitioner in Sparks, NV

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Ellie Catharine Black, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sparks, Nevada. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tahoe Forest Hospital District and her current practice location is 5265 Vista Blvd Bldg B, Sparks, Nevada. You can reach out to her office (for appointments etc.) via phone at (775) 352-5335.

Ellie Catharine Black is licensed to practice in Nevada (license number 832783) 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 1962009324.

Contact Information

Ellie Catharine Black, FNP-C
5265 Vista Blvd Bldg B,
Sparks, NV 89436-0836
(775) 352-5335
(775) 352-5334

Map and Direction




Provider's Profile

Full NameEllie Catharine Black
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location5265 Vista Blvd Bldg B, Sparks, Nevada
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:
  • Ellie Catharine Black graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1962009324
  • Provider Enumeration Date: 10/07/2020
  • Last Update Date: 04/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6103236914
  • Enrollment ID: I20201106000729

Medical Identifiers

Medical identifiers for Ellie Catharine Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962009324NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 95014901 (California)Secondary
363LF0000XNurse Practitioner - Family 832783 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tahoe Forest HospitalTruckee, CAHospital
Incline Village Community HospitalIncline village, NVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tahoe Forest Hospital District0446161335111

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. Ellie Catharine Black allows following entities to bill medicare on her behalf.
Entity NameTahoe Forest Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750412300
PECOS PAC ID: 0446161335
Enrollment ID: O20050329001397

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. Ellie Catharine 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
Ellie Catharine Black, FNP-C
2345 E Prater Way Ste 207,
Sparks, NV 89434-9634

Ph: (775) 352-5335		Ellie Catharine Black, FNP-C
5265 Vista Blvd Bldg B,
Sparks, NV 89436-0836

Ph: (775) 352-5335

Reviews and Comments


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Phone: 775-352-5335    Fax: 775-352-5334
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Phone: --    

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.