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

Mr. Dallas Black, ARNP

Individual provider Acute Care Nurse Practitioner · NPI 1760156665

Mr. Dallas Black, ARNP is a Nurse Practitioner in Ottumwa, Iowa. Qualified in 2021, 5 years ago. Practices with Ottumwa Health Group LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
5
Licensed in
IA
In the registry since
2021
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

1011 Pennsylvania Ave
Ottumwa, IA 52501-2129
Phone: (641) 682-7511
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence H165013 (IA)

Record details

NPI number1760156665
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorNo
NPI enumeratedAugust 4, 2021
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ottumwa Health Group Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount