Individual provider Active NPI

Tessa Black, MD

  • Obstetrics & Gynecology Physician
  • Carson City, NV
National Provider Identifier
1356784474
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20225 Issued in NV
Practice address
1475 Medical Pkwy
Carson City, NV 89703-4635
Phone
(775) 883-3636
Fax
(775) 882-2382
NPI assigned
Apr 8, 2013
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD2017-0743 NM
Obstetrics & Gynecology Physician 207V00000X 20225 NV Primary

Addresses

Primary practice location

1475 Medical Pkwy
Carson City, NV 89703-4635

Mailing address

1946 Old Hot Springs Rd
Carson City, NV 89706-0674
Phone (775) 882-1324

Other names 1

  • Tessa Schwering Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208000430 NV Practitioner - Obstetrics/Gynecology 4385910082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Nevada School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Medical Group Professional CorporationGroup PAC ID 4183520778, 49 clinicians

Practice addresses (Care Compare)

1200 Mountain St
Carson City, NV 89703-3821

1946 Old Hot Springs Rd
Carson City, NV 89706-0674
Phone (775) 882-1324

925 Ironwood Dr
Suite 2111
Minden, NV 89423-5180
Phone (775) 782-5330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20225NVMDPharmacist
MD2017-0743NMMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Nevada LTD CurrentSince Aug 11, 2024 Accepting new patients
Carson Medical Group Professional Corporation Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients
Carson Tahoe Regional Healthcare Past Accepting new patients

Locations

1200 Mountain St
Ste 23
Carson City, NV 89703

1200 Mountain St
Ste 230
Carson City, NV 89703
Phone (775) 882-1324

1475 Medical Pkwy
Carson City, NV 89703
Phone (775) 883-3636

1475 Medical Pkwy
Ste 110
Carson City, NV 89703

1946 Old Hot Springs Rd
Carson City, NV 89706
Phone (775) 283-5050

925 Ironwood Dr
Ste 2111
Minden, NV 89423
Phone (775) 283-5050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19482/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJDAA
  • Direct secure messaging: tschwering75185@ahs.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1356784474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 OLD HOT SPRINGS RD",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060674",
            "telephone_number": "775-882-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 MEDICAL PKWY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034635",
            "telephone_number": "775-883-3636",
            "fax_number": "775-882-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "TESSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2017-0743",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "20225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "SCHWERING",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.