Kristen Elaine Black, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Thurmont, Maryland. 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 Wellspan Medical Group and her current practice location is
8 Rouzer Ct, Thurmont, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 676-0160.
Kristen Elaine Black is licensed to practice in Maryland (license number R209202) 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 1730767302.
Provider's Profile
Full Name | Kristen Elaine Black |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 8 Rouzer Ct, Thurmont, Maryland |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kristen Elaine Black graduated from nursing school in 2020
NPI Data:
- NPI Number: 1730767302
- Provider Enumeration Date: 04/01/2021
- Last Update Date: 05/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426440306
- Enrollment ID: I20220127000204
Medical Identifiers
Medical identifiers for Kristen Elaine Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730767302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LG0600X | Nurse Practitioner - Gerontology | RN706137 (Maryland) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | R209202 (Maryland) | Primary |
363LG0600X | Nurse Practitioner - Gerontology | SP023459 (Pennsylvania) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Wellspan Medical Group | 1951213115 | 1966 |
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. Kristen Elaine Black allows following entities to bill medicare on her behalf.
Entity Name | Wellspan Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
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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. Kristen Elaine 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 Address | Practice Location Address |
Kristen Elaine Black, CRNP 354 Mill St, Hagerstown, MD 21740-6138 Ph: (301) 676-0160 | Kristen Elaine Black, CRNP 8 Rouzer Ct, Thurmont, MD 21788-1676 Ph: (301) 676-0160 |
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