MRS. BILLIE-ANN BLACK (DNP) – Family Nurse Practitioner, NPI 1508837782

MRS. BILLIE-ANN BLACK (DNP) is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 71001186A (IN). The NPI Number for MRS. BILLIE-ANN BLACK (DNP) is 1508837782

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BILLIE-ANN BLACK (DNP)
NPI
1508837782
Phone
(317) 528-4800
Address
PO BOX 781076
Enumeration Date
27 January 2006
Last Update Date
22 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2198732919
Graduation Year
2014 (12 years ago)
PAC ID
7214978501
Group Practice PAC ID
3072790682
Professional Enrollment ID
I20050517000745
Address ID
IN463607803MI4111XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for MRS. BILLIE-ANN BLACK (DNP)

  • PO BOX 781076

    DETROIT, MI 482781076

    Phone: (317) 528-4800

    Type: Mailing

  • 4111 FRANKLIN ST

    MICHIGAN CITY, IN 463607803

    Phone: (219) 873-2919

    Fax: (219) 873-2909

    Type: Location

  • 13963, Morse Street, Cedar Lake, Lake County, Indiana, 46303, United States

    CEDAR LAKE, IN 463039639

    Phone: (219) 374-5555

    Fax: (219) 374-6669

    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: 2005-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050517000745INurse PractitionerINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4948$0
81003Automated urinalysis test1515$0
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 48278)

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Provider's Procedures

MRS. BILLIE-ANN BLACK (DNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERIN81002Urinalysis, manual test6340
NURSE PRACTITIONERIN85610Blood test, clotting time12020
NURSE PRACTITIONERIN90670Pneumococcal vaccine for injection into muscle3636

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: 3072790682View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. BILLIE-ANN BLACK (DNP)?
NPI 1508837782 is assigned to MRS. BILLIE-ANN BLACK (DNP) under the national enumeration system.
Is MRS. BILLIE-ANN BLACK (DNP) currently active in the NPI registry?
CMS-published data lists MRS. BILLIE-ANN BLACK (DNP) as an active registrant.
Does MRS. BILLIE-ANN BLACK (DNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MRS. BILLIE-ANN BLACK (DNP). Clinical services aligned with this taxonomy classification.
What location shows for MRS. BILLIE-ANN BLACK (DNP)?
We surface Detroit, Michigan for MRS. BILLIE-ANN BLACK (DNP) based on available NPPES addresses.
How can I contact MRS. BILLIE-ANN BLACK (DNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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