Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Black, PA-C

Individual provider Physician Assistant · NPI 1316173727

Jennifer Black, PA-C is a Physician Assistant in Bloomington, Indiana. Qualified in 2009, 17 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
17
Licensed in
IN
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

583 S Clarizz Blvd
Bloomington, IN 47401-5515
Phone: (812) 333-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 — (812) 355-2300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10001094A (IN)

Record details

NPI number1316173727
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 1, 2009
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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