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

Jennifer K Black, NP

Individual provider Interventional Cardiology Physician · NPI 1174607576

Jennifer K Black, NP is a Nurse Practitioner in Springfield, Illinois. Qualified in 2000, 26 years ago. Practices with Prairie Cardiovascular Consultants Ltd, a 94-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

619 E Mason St Ste 4P57
Springfield, IL 62701-1034
Phone: (217) 788-0706
Fax: (217) 525-2535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 209002373 (IL)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 209002373 (IL)

Record details

NPI number1174607576
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Prairie Cardiovascular Consultants Ltd — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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