Kelly Nicole Black, MSN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Cleveland, OH

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Kelly Nicole Black, MSN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Cleveland, Ohio. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice University Hospitals Medical Group Inc and her current practice location is 11100 Euclid Ave, Anesthesia Dept, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 844-7330.

Kelly Nicole Black is licensed to practice in Ohio (license number 123239) 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 1437621091.

Contact Information

Kelly Nicole Black, MSN, CRNA
11100 Euclid Ave, Anesthesia Dept,
Cleveland, OH 44106-5007
(216) 844-7330
Not Available

Map and Direction




Provider's Profile

Full NameKelly Nicole Black
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location11100 Euclid Ave, Cleveland, Ohio
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:
  • Kelly Nicole Black graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1437621091
  • Provider Enumeration Date: 12/20/2018
  • Last Update Date: 12/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3173861192
  • Enrollment ID: I20190215001670

Medical Identifiers

Medical identifiers for Kelly Nicole Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437621091NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 123239 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Hospitals Of ClevelandCleveland, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Hospitals Medical Group Inc47896824931542

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. Kelly Nicole Black allows following entities to bill medicare on her behalf.
Entity NameUniversity Primary Care Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003935339
PECOS PAC ID: 3072417534
Enrollment ID: O20031125000767
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301

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. Kelly Nicole 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
Kelly Nicole Black, MSN, CRNA
5687 Wilson Mills Rd,
Highland Hts, OH 44143-3208

Ph: (440) 391-2478		Kelly Nicole Black, MSN, CRNA
11100 Euclid Ave, Anesthesia Dept,
Cleveland, OH 44106-5007

Ph: (216) 844-7330

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Cleveland, OH

Monica Lynn Shein, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9500 Euclid Ave, Cleveland, OH 44195
Phone: 800-223-2273    
Sean O'brien,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9500 Euclid Ave, Cleveland, OH 44195
Phone: 216-444-6550    
Ryan Walukonis,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9500 Euclid Ave, Cleveland, OH 44195
Phone: 216-444-2200    
Jessica Zelna, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9500 Euclid Ave, Cleveland, OH 44195
Phone: 216-444-2200    
Ms. Zsuzsanna Hertzfeld, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9500 Euclid Ave, Cleveland, OH 44195
Phone: 216-444-2200    
Mrs. Joyce Alexis Scott, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9500 Euclid Ave, Cleveland, OH 44195
Phone: 216-444-2200    
Joyce Ann R Reeves, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 9500 Euclid Ave, Cleveland, OH 44195
Phone: 800-223-2273    

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.