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

Individual provider Physician Assistant · NPI 1770966558

Mrs. Kristen Elizabeth Black, PA-C is a Physician Assistant in Troy, Michigan. Graduated from Wayne State University School of Medicine in 2015, 11 years ago. Works from 2 locations. Licensed in Michigan.

Years since qualifying
11
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2015
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

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 306 Hendrie Blvd, Royal Oak, MI 48067-2472 — (248) 200-9425

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007380 (MI)

Record details

NPI number1770966558
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 30, 2015
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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