Individual provider Active NPI

Susan Black

  • Family Nurse Practitioner
  • Everett, PA
National Provider Identifier
1780834549
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009927 Issued in PA
Practice address
227 Hospital Dr Ste 1
Suite 1
Everett, PA 15537-7019
Phone
(814) 623-9095
NPI assigned
Sep 29, 2008
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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 SP009927 PA Primary

Addresses

Primary practice location

227 Hospital Dr Ste 1
Suite 1
Everett, PA 15537-7019

Mailing address

227 Hospital Dr Ste 1
Suite 1
Everett, PA 15537-7019

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address susan.g.black@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20081027000568 PA Practitioner - Nurse Practitioner 4183782790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

227 Hospital Dr
Suite 1
Everett, PA 15537-7019
Phone (814) 623-9095

249 Hospital Dr
Everett, PA 15537-7020
Phone (814) 623-1166

283 Hospital Dr
Everett, PA 15537-7020
Phone (814) 623-1002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Sep 23, 2008 Accepting new patients
Upmc Community Medicine Inc CurrentSince Sep 23, 2008 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Community Medicine Inc Past Accepting new patients

Locations

118 S Anderson St
Ste 1
Bedford, PA 15522
Phone (814) 623-2146

227 Hospital Dr
#1
Everett, PA 15537
Phone (814) 623-9095

249 Hospital Dr
Everett, PA 15537
Phone (814) 623-1166

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: sblack40148@upmc.direct-ci.com
  • Direct secure messaging: susan.g.black@upmcdirect.com

Organizations & group practices 5

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": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1780834549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 HOSPITAL DR STE 1",
            "address_2": "SUITE 1",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 HOSPITAL DR STE 1",
            "address_2": "SUITE 1",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377019",
            "telephone_number": "814-623-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.g.black@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Everett, PA

Sources for this page

Verify at the official NPI Registry.