Cierra Charrse Black, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1411 N Beckley Ave Ste 363
Dallas, TX 75203-1558

Phone

(214) 305-8667

NPI assigned

Mar 11, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Group practices

Ewen Y Tseng MD PAGroup PAC ID 3678649944, 4 clinicians

Collin County ENTGroup PAC ID 6507235835, 6 clinicians

Kenny B Carter Jr MD PLLCGroup PAC ID 6507037918, 4 clinicians

Keith E. Matheny, M.D., PLLCGroup PAC ID 3476653247, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Ewen Y Tseng MD PA

  • Otolaryngology Physician
  • Frisco, TX
  • NPI 1083861611
  Medicare reassignment Care Compare group NPD
• Keith E. Matheny, M.D., PLLC

  • Otolaryngology Physician
  • Frisco, TX
  • NPI 1558566786
  Medicare reassignment Care Compare group NPD
• Kenny B Carter Jr MD PLLC

  • Otolaryngology Physician
  • Frisco, TX
  • NPI 1639458938
  Medicare reassignment Care Compare group NPD
• Collin County ENT

  • Otolaryngology Physician
  • Frisco, TX
  • NPI 1740916139
  Medicare reassignment Care Compare group
• Dallas ENT & Allergy Center P a

  • Otolaryngology Physician
  • Dallas, TX
  • NPI 1073575080
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1104625383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 EATON DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750728825",
            "telephone_number": "214-250-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 363",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031558",
            "telephone_number": "214-305-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "CIERRA",
        "middle_name": "CHARRSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Black, OPA-C
• Brandon Dustin Black, D.C.
• Charles Thomas Black, MD
• Christopher Kyle Edwards Black, MD
• Christopher Sean Fatte Black, M.D.
• Danelle Black, RTR, ARDMS
• Jeffrey Black
• John L. Black, PH.D.
• Keely Chantale Black
• Kendall Black, MD

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.

Verify at the official NPI Registry.