Individual provider Active NPI

Billie-Ann Black, DNP

  • Family Nurse Practitioner
  • Michigan City, IN
National Provider Identifier
1508837782
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001186A Issued in IN
Practice address
4111 Franklin St
Michigan City, IN 46360-7803
Phone
(219) 873-2919
Fax
(219) 873-2909
NPI assigned
Jan 27, 2006
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71001186A IN Primary

Addresses

Primary practice location

4111 Franklin St
Michigan City, IN 46360-7803

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20050517000745 IN Practitioner - Nurse Practitioner 7214978501 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

4111 Franklin St
Michigan City, IN 46360-7803
Phone (219) 873-2919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthcare LLC CurrentSince Jan 6, 2022 Accepting new patients
Franciscan Physician Network Current Accepting new patients
La Porte Clinic Company LLC CurrentSince Aug 1, 2023 Accepting new patients
Franciscan Physician Network CurrentSince Mar 11, 2024 Accepting new patients
Community Care Network Inc CurrentSince Jul 1, 2012 Accepting new patients
Porter Physician Services LLC CurrentSince Aug 1, 2023 Accepting new patients
La Porte Clinic Company LLC CurrentSince Aug 1, 2023 Accepting new patients
Pinnacle Healthcare, LLC CurrentSince Jan 6, 2022 Accepting new patients
Franciscan Physician Network CurrentSince Mar 11, 2024 Accepting new patients

Locations

13963 Morse St
Cedar Lake, IN 46303
Phone (219) 374-2400

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

8550 Broadway
Merrillville, IN 46410
Phone (219) 736-8888

4111 Franklin St
Michigan City, IN 46360
Phone (219) 873-2919

7905 Calumet Ave
Munster, IN 46321
Phone (219) 836-5800

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9307 Calumet Ave
Ste A2
Munster, IN 46321
Phone (219) 836-2274

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

1551 Sturdy Rd
Ste 1
Valparaiso, IN 46383
Phone (219) 252-4892

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1508837782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 FRANKLIN ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607803",
            "telephone_number": "219-873-2919",
            "fax_number": "219-873-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "BILLIE-ANN",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001186A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.