ELLIE CATHARINE BLACK (FNP-C) – Family Nurse Practitioner, NPI 1962009324
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for ELLIE CATHARINE BLACK (FNP-C)
PO BOX 2185
TRUCKEE, CA 961602185
Phone: (530) 414-4815
Type: Mailing
376 VALLOMBROSA AVE
CHICO, CA 959263997
Phone: (530) 891-1676
Type: Location
2345 E PRATER WAY STE 207
SPARKS, NV 894349634
Phone: (775) 352-5335
Fax: (775) 352-5334
Type: Mailing
5265 VISTA BLVD BLDG B
SPARKS, NV 894360836
Phone: (775) 352-5335
Fax: (775) 352-5334
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-04-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201106000729 | I | Nurse Practitioner | CA | TBD |
| I20210409001981 | I | Nurse Practitioner | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 211 | 191 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 127 | 117 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 87 | 87 | $0 |
| 81002 | Urinalysis, manual test | 42 | 41 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 24 | 24 | $0 |
Insurance plans in this area (ZIP 96160)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| General Surgery | CA | |
| - | CA | |
| A N E S T H E S I O L O G Y | AZ | |
| A N E S T H E S I O L O G Y | NV | |
| Internal Medicine | NV | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV |
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