KAY CHERENE BLACK (APRN-CNS) – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1114959012
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for KAY CHERENE BLACK (APRN-CNS)
47781 HWY 51 B
PORTER, OK 744543201
Phone: (918) 332-6393
Fax: (888) 818-4957
Type: Mailing
2325, South Harvard Avenue, Florence Park South, Tulsa, Tulsa County, Oklahoma, 74114, United States
TULSA, OK 741143300
Phone: (918) 991-6610
Type: Location
200 MILLBRANCH CT
HOT SPRINGS, AR 719017243
Phone: (918) 530-7257
Fax: (855) 595-1072
Type: Mailing
3413 E NOBLE DR
EDMOND, OK 730348206
Phone: (918) 530-7257
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $468.
Total Amount is formed as General ($468) + Research ($0) + Ownership ($0) = $468.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: ABBVIE INC. ($271).
Total Amount
$468
General + Research + Ownership
Payments
19
Total payment records
General Amount
$468
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $271 |
| Janssen Pharmaceuticals, Inc | $60 |
| Supernus Pharmaceuticals, Inc. | $45 |
| Braeburn Inc. | $35 |
| Axsome Therapeutics, Inc. | $33 |
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: 2024-02-29
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 |
|---|---|---|---|---|
| I20240229000508 | I | Nurse Practitioner | AR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74454)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.