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

Kimberly Lucille Black, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1255878989

Kimberly Lucille Black, PMHNP is a Nurse Practitioner in Monett, Missouri. Qualified in 2016, 10 years ago. Practices with Ozark Tri-County Health Care Consortium, a 39-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2017
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

411 3rd St
Monett, MO 65708-2008
Phone: (417) 476-1000
Fax: (417) 476-1082
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2017004149 (MO)

Record details

NPI number1255878989
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJanuary 19, 2017
Last updated in NPPESFebruary 28, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ozark Tri-County Health Care Consortium — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Monett