MRS. AMY ELIZABETH BLACK (NP-C) – Nurse Practitioner, NPI 1902994106
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for MRS. AMY ELIZABETH BLACK (NP-C)
7001 FOREST AVE STE 400
RICHMOND, VA 232301726
Phone: (804) 282-0831
Fax: (804) 288-7135
Type: Mailing
7001 Forest Ave Ste 400
Richmond, VA 232301726
Phone: (804) 282-0831
Fax: (804) 288-7135
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
44 MEDICAL PARK BLVD STE A
PETERSBURG, VA 238059351
Phone: (804) 324-4511
Fax: (804) 835-5103
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $1,324.
Total Amount is formed as General ($1,324) + Research ($0) + Ownership ($0) = $1,324.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($285).
Total Amount
$1,324
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,324
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $285 |
| GENZYME CORPORATION | $249 |
| E.R. Squibb & Sons, L.L.C. | $243 |
| REVANCE THERAPEUTICS, INC. | $133 |
| PFIZER INC. | $130 |
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: 2005-01-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050107000380 | I | Nurse Practitioner | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 589 | 137 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 253 | 176 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 246 | 177 | $0 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 206 | 150 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 143 | 109 | $0 |
Insurance plans in this area (ZIP 23230)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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