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

Jacqueline J. Black, APRNCRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1578009502

Jacqueline J. Black, APRNCRNA is a Certified Registered Nurse Anesthetist (CRNA) in Columbus, Ohio. Qualified in 2017, 9 years ago. Practices with Osu Observation Medicine, LLC, a 419-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
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Practice location Address checks out

410 W 10th Ave Fl 1
Columbus, OH 43210-1240
Phone: (614) 293-8487
Fax: (614) 293-8153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN.CRNA.019571 (OH)

Record details

NPI number1578009502
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNCRNA
Sole proprietorNo
NPI enumeratedJanuary 14, 2017
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Osu Observation Medicine, Llc — 419 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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