Jenna E Black, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

400640 Issued in NC

Practice address

2131 S 17TH St
Wilmington, NC 28401-7407

Phone

(910) 442-1100

NPI assigned

May 16, 2006

Last updated

Aug 14, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Anesthesiology

Education

University of Cincinnati College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Anesthesiology Consultants PLLCGroup PAC ID 7719959873, 92 clinicians

Duplin General Hospital IncorporatedGroup PAC ID 4587575337, 13 clinicians

East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vidant Duplin Hospital Hospital, Kenansville, NC, CCN 340120
• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
• Pender Memorial Hospital Hospital, Burgaw, NC, CCN 341307

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jblack1243590@direct.novanthealth.org

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.

• Duplin General Hospital, Incorporated

  dba Duplin General Hospital Anesthesia

  • Specialist
  • Kenansville, NC
  • NPI 1942478383
  Medicare reassignment Care Compare group NPD
• East Carolina Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Greenville, NC
  • NPI 1205996519
  Medicare reassignment Care Compare group NPD
• Southeast Anesthesiology Consultants, PLLC

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1538124201
  Medicare reassignment Care Compare group NPD
• American Anesthesiology of North Carolina, PLLC

  • Anesthesiology Physician
  • Wilmington, NC
  • NPI 1033412267
  Medicare reassignment NPD
• Chatham Hospital, Inc.

  dba Chatham Professional Group

  • Critical Access Hospital
  • Siler City, NC
  • NPI 1689967457
  Medicare reassignment NPD
• American Anesthesiology of North Carolina, PLLC

  • Certified Registered Nurse Anesthetist
  • Burlington, NC
  • NPI 1053677195

  Anesthesiology

  NPD
• Southeast Anesthesiology Consultants, PLLC

  • Anesthesiology Physician
  • Wilmington, NC
  • NPI 1932402195
  NPD

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

• Duplin General Hospital Incorporated

  dba ECU Health Duplin Hospital

  • General Acute Care Hospital
  • Kenansville, NC
  • NPI 1508832833
  Care Compare affiliation
• Novant Health New Hanover Regional Medical Center LLC

  dba Novant Health New Hanover Regional Medical Center

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation
• Pender Memorial Hospital, Incorporated

  dba Novant Health Pender Medical Center

  • Critical Access Hospital
  • Burgaw, NC
  • NPI 1295703130
  Care Compare affiliation
• Pender Memorial Hospital, Incorporated

  dba Novant Health Pender Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Burgaw, NC
  • NPI 1780653865
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1750333951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 INDEPENDENCE BLVD STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122482",
            "telephone_number": "910-442-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017407",
            "telephone_number": "910-442-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JENNA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "400640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913699",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Sanders Bissett, DO
• Marcia Bittner, LCSW
• Karlee Bjurstrom, RBT
• Charles Henry Black IV, D.O.
• Jason Oliver Black, L.P.A., L.C.A.S
• John Alexander Black, M.D.
• Katelyn Carluzzo Black
• Kathryn F Black, PA
• Melissa Whitesell Black, CNM
• Charles T Blackburn, CRNA

• Anesthesiology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.