TAMARA LYNN BLACK (ARNP) – Nurse Practitioner, NPI 1508896143
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,550 NURSE PRACTITIONER in KS
Provider Addresses for TAMARA LYNN BLACK (ARNP)
PO BOX 907
EMPORIA, KS 668010907
Phone: (620) 342-2521
Fax: (620) 342-6520
Type: Mailing
420 W 15TH AVE
EMPORIA, KS 668015367
Phone: (620) 342-4864
Fax: (620) 343-3545
Type: Location
Newman Medical Plaza, 1301, West 12th Avenue, Berkeley Hills, Emporia, Lyon County, Kansas, 66801, United States
STE 202
EMPORIA, KS 668010907
Phone: (620) 342-2521
Fax: (620) 342-6520
Type: Location
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 $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: GENZYME CORPORATION ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $125 |
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: 2005-09-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (891 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20050920000532 | I | Nurse Practitioner | KS | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 65 | 31 | $0 |
| 83036 | Hemoglobin a1c level | 37 | 17 | $0 |
Insurance plans in this area (ZIP 66801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Nurse Practitioner | TN | |
| - | KS | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| - | KS | |
| Certified Nurse Midwife (Cnm) | KS | |
| - | KS | |
| Family Practice, Emergency Medicine | KS |
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