MEGAN LOUISE BLACK (PA) – Physician Assistant, NPI 1194290767

MEGAN LOUISE BLACK (PA) is a healthcare provider. based in Blanding, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 11452109-1206 (UT). The NPI Number for MEGAN LOUISE BLACK (PA) is 1194290767

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MEGAN LOUISE BLACK (PA)
NPI
1194290767
Phone
(435) 459-9682
Address
466 W 800 S
Enumeration Date
9 October 2018
Last Update Date
3 October 2019

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
4357273000
Graduation Year
2019 (7 years ago)
PAC ID
6002248358
Group Practice PAC ID
1658275649
Professional Enrollment ID
I20191107001722
Address ID
UT845360005MO30XXXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

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Provider Addresses for MEGAN LOUISE BLACK (PA)

  • 466, 800 South, Blanding, San Juan County, Utah, 84511, United States

    BLANDING, UT 845113901

    Phone: (435) 459-9682

    Mailing address matches the actual address.

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: 2019-11-07

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
I20191107001722IPhysician AssistantUTTBD

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
83036Hemoglobin a1c level3019$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2827$0
80053Blood test, comprehensive group of blood chemicals2726$0
81003Automated urinalysis test1715$0
80061Blood test, lipids (cholesterol and triglycerides)1615$0
View full utilization report →

Insurance plans in this area (ZIP 84511)

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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: 1658275649View full group profile
NameSpecialtyState
Family PracticeMT
P S Y C H I A T R YUT
Physician AssistantUT
Clinical Social WorkerUT
Nurse PractitionerUT
O P T O M E T R YUT
Physician AssistantUT
Physician AssistantUT
Interventional Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)UT
Physician AssistantUT

Reviews

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Frequently asked questions

Does MEGAN LOUISE BLACK (PA) have a public NPI I can cite?
Public records show MEGAN LOUISE BLACK (PA) under NPI 1194290767.
Is MEGAN LOUISE BLACK (PA) currently accepting referrals based on NPI status?
Registry metadata lists MEGAN LOUISE BLACK (PA) as active.
What does the directory say MEGAN LOUISE BLACK (PA) does?
Insurance directories may phrase it differently, but here MEGAN LOUISE BLACK (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MEGAN LOUISE BLACK (PA)?
The directory associates MEGAN LOUISE BLACK (PA) with Blanding, Utah. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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