JENNIFER LEE BLACK (APN) – Nurse Practitioner, NPI 1689172769

JENNIFER LEE BLACK (APN) is a healthcare provider. based in Warner robins, Georgia. specializing in Nurse Practitioner. They hold the professional credentials APN. They hold a License No. RN089820 (GA). The NPI Number for JENNIFER LEE BLACK (APN) is 1689172769

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LEE BLACK (APN)
NPI
1689172769
Phone
(478) 971-1099
Address
500 OSIGIAN BLVD STE 300
Enumeration Date
24 January 2018
Last Update Date
13 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185267271
Graduation Year
2017 (9 years ago)
PAC ID
0840548483
Group Practice PAC ID
9638064892
Professional Enrollment ID
I20180730002580
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for JENNIFER LEE BLACK (APN)

  • 500 OSIGIAN BLVD STE 300

    WARNER ROBINS, GA 310888008

    Phone: (478) 971-1099

    Fax: (478) 971-1098

    Type: Mailing

  • 14509 STATE ROUTE 127 STE B

    CARLYLE, IL 622316485

    Phone: (618) 594-8924

    Type: Location

  • 2023 GRANDVIEW DRIVE

    SAINT JACOB, IL 622811073

    Phone: (770) 855-6205

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: SCILEX PHARMACEUTICALS INC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 31088)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638064892View full group profile
NameSpecialtyState
-IL
-MO
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
Internal Medicine, Cardiac ElectrophysiologyMO
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How is JENNIFER LEE BLACK (APN) identified in CMS data?
CMS-hosted NPPES data lists JENNIFER LEE BLACK (APN) with NPI 1689172769.
Can I rely on JENNIFER LEE BLACK (APN) being an active provider?
As of the registry snapshot, JENNIFER LEE BLACK (APN) is marked active.
What healthcare role does JENNIFER LEE BLACK (APN) hold?
Scheduling teams often label JENNIFER LEE BLACK (APN) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JENNIFER LEE BLACK (APN) based?
JENNIFER LEE BLACK (APN) is tied to Warner Robins, Georgia in the data we show; additional addresses may exist on the full record.
Is the information about JENNIFER LEE BLACK (APN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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