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

Katy A Black, APRN

Individual provider Nurse Practitioner · NPI 1043608920

Katy A Black, APRN is a Nurse Practitioner in Carbondale, Kansas. Qualified in 2014, 12 years ago. Practices with Cotton-O'Neil Clinic Revocable Trust, a 658-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
12
Licensed in
KS
In the registry since
2014
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

211 E Main St
Carbondale, KS 66414-9607
Phone: (785) 836-7111
Fax: (785) 836-9251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 76631 (KS)

Record details

NPI number1043608920
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedDecember 31, 2014
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address211 E Main St, Carbondale, KS 66414-9607

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cotton-O'Neil Clinic Revocable Trust — 658 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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