Erin E. Black, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Kingman, AZ
NPI 1750161493 · NPPES record last updated Oct 6, 2023
Key facts
- NPI
- 1750161493
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 298274 (AZ)
- Practice address
- 1510 N Stockton Hill Rd
Kingman, AZ 86401-5173 - Phone
- (928) 753-1177
- NPI assigned
- Oct 2, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kingman Healthcare Inc
Practice addresses (Care Compare)
2226 Hualapai Mountain Rd
Suite 101
Kingman, AZ 86401-8374
Phone (928) 681-8703
Hospital & facility affiliations
- Kingman Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231024000820 | AZ | Practitioner - Nurse Practitioner | 0749636199 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Healthcare, Inc. | Current |
Accepting new patients | |
| Kingman Healthcare, Inc | Family | Current |
Accepting new patients |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current |
Accepting new patients | |
| Kingman Healthcare, Inc | Current |
Accepting new patients | |
| North Country Healthcare, Inc. | Past | Accepting new patients | |
| Kingman Healthcare, Inc | Past | Accepting new patients |
Locations
4995 US Highway 68
Ste 1
Golden Valley, AZ 86413
Phone (928) 681-8500
1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177
1726 E Beverly Ave
Ste A
Kingman, AZ 86409
Phone (928) 753-3303
2226 Hualapai Mountain Rd
Kingman, AZ 86401
Phone (928) 681-8530
3801 Santa Rosa Dr
Ste 400
Kingman, AZ 86401
Phone (928) 681-8530
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
2226 Hualapai Mountain Rd
Ste 101
Kingman, AZ 86401
Phone (928) 681-8530
620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 298274 | AZ | Yes |
Addresses
Primary practice location
1510 N Stockton Hill Rd
Kingman, AZ 86401-5173
Mailing address
PO Box 3630
Flagstaff, AZ 86003-3630
Phone (285) 229-9879
Other providers in Kingman, AZ
- Better Balance Physical Therapy & Wellness
- BHSM Rehabilitation, LLC
- Diane Michele Bickle
- Bio-Medical Applications of Arizona, LLC
- Jeremy Bird
- Jettie A. Blanton
- David M Bleiler
- Melaina Zanele Blomenkamp
- Kale D Bodily
- S Ismail Ah Bokhari Sr.
All providers in Kingman, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.