Active NPI
Kara N Black, PAC
- Physician Assistant
- Elkins, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 01432
- Practice address
- 213 Main St
Elkins, WV 26241-4161 - Phone
- (304) 637-2360
- NPI assigned
- Sep 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 01432 | WV | Primary |
Addresses
Primary practice location
213 Main St
Elkins, WV 26241-4161
Mailing address
213 Main St
Elkins, WV 26241-4161
Phone (304) 637-2360
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kblack154813@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | kblack154813@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | kblack154813@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | kblack154813@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091110000026 | WV | Practitioner - Physician Assistant | 2769520998 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Joseph'S Hospital of Buckhannon Inc
Practice addresses (Care Compare)
94 W Main St
Buckhannon, WV 26201-2284
Phone (304) 473-2199
Hospital & facility affiliations
- St Joseph'S Hospital of Buckhannon, Inc
- United Hospital Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1432 | WV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Hospital of Buckhannon Inc | Current | Accepting new patients | |
| St Josephs Hospital of Buckhannon | Past | Accepting new patients | |
| West Virginia Gastroenterology & Endoscopy | Past | Accepting new patients |
Locations
1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000
94 W Main St
Ste 201
Buckhannon, WV 26201
21 Auction Ln
Ste A
Buckhannon, WV 26201
Phone (304) 472-6041
21 Auction Ln
Buckhannon, WV 26201
Phone (304) 472-0245
Interoperability endpoints
- kblack154813@direct.wvuhsdirect.com
- knb630pcs@m1696.primeclinicalsystems.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Buckhannon, WV
- NPI 1528607314
-
- Skilled Nursing Facility
- Buckhannon, WV
- NPI 1720183197
-
- Rural Health Clinic/Center
- Buckhannon, WV
- NPI 1780223370
-
- Internal Medicine Physician
- Buckhannon, WV
- NPI 1841314473
-
- Gastroenterology Physician
- Elkins, WV
- NPI 1023335213
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Buckhannon, WV
- NPI 1124005061
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1003140914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 MAIN ST",
"city": "ELKINS",
"state": "WV",
"postal_code": "262414161",
"telephone_number": "304-637-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 MAIN ST",
"city": "ELKINS",
"state": "WV",
"postal_code": "262414161",
"telephone_number": "304-637-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "KARA",
"middle_name": "N",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "01432",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kblack154813@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "21 Auction Ln",
"city": "Buckhannon",
"state": "WV",
"country_code": "US",
"postal_code": "262018968",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kblack154813@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "21 Auction Ln Ste A",
"city": "Buckhannon",
"state": "WV",
"country_code": "US",
"postal_code": "262018968",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kblack154813@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "21 Auction Ln Ste A",
"city": "Buckhannon",
"state": "WV",
"country_code": "US",
"postal_code": "262018968",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kblack154813@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "21 Auction Ln Ste A",
"city": "Buckhannon",
"state": "WV",
"country_code": "US",
"postal_code": "262018968",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.