MRS. KAREN RENEE BLACK (APN) – Family Nurse Practitioner, NPI 1164867628
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. KAREN RENEE BLACK (APN)
8700 NW 36th Street, Suite 107
Doral, FL 33178
Phone: (888) 663-6331
Type: Location
4410 VALLEY VIEW DR
KNOXVILLE, TN 379171304
Phone: (865) 523-5235
Fax: (865) 523-2003
Type: Mailing
1350 Connecticut Ave NW Ste 1250
Washington, DC 200361728
Phone: (202) 627-1901
Type: Location
2984 Grand Ave
Miami, FL 33133
Phone: (888) 663-6331
Type: Location
8810 SW 72ND CT # A-101
MIAMI, FL 331562983
Phone: (888) 663-6331
Fax: (415) 252-7176
Type: Location
1350 CONNECTICUT AVE NW STE 1250
WASHINGTON, DC 200361728
Phone: (202) 627-1901
Type: Location
1 EMBARCADERO CTR STE 1900
SAN FRANCISCO, CA 941113723
Phone: (415) 658-6791
Type: Mailing
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: 2024-03-18
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 |
|---|---|---|---|---|
| I20221013000695 | I | Nurse Practitioner | FL | TBD |
| I20240318002708 | I | Nurse Practitioner | DC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33178)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Physician Assistant | NY | |
| Family Practice | FL | |
| Family Practice | WI | |
| Internal Medicine | FL | |
| Family Practice | CT | |
| Family Practice | FL | |
| Nurse Practitioner | FL |
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