Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Autumn Black

Individual provider Family Nurse Practitioner · NPI 1376137414

Autumn Black is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2020, 6 years ago. Practices with Milum Wound Care PSC, a 2-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2021
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Practice location Address checks out

2100 Millvale Rd
Louisville, KY 40205-1604
Phone: (443) 383-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3014903 (KY)

Record details

NPI number1376137414
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 1, 2021
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Milum Wound Care Psc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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