Active NPI 1043608920 Individual Practitioner Female Practitioner

Katy A Black , APRN

Nurse Practitioner • Carbondale, KS

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Katy Black, APRN is a certified Nurse Practitioner practicing in Carbondale, KS. With approximately 12 years of clinical experience since completing medical education in 2014, Katy Black delivers high-quality medical care to the local community at 211 E MAIN ST.

Katy Black is affiliated with Cotton-O'Neil Clinic Revocable Trust and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

211 E Main St

Carbondale, KS 664149607

Telephone 7858367111

Fax 7858369251

Associated Practice Facility / Clinic

🏢 Stormont-Vail Healthcare Inc Facility NPI 1477487775

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Carbondale, KS

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +4.2 yrs vs City Avg

City Avg: 7.8 Yrs

State Avg: 12.6 Yrs

Regional Practice Density

4 Specialists

Practicing in Carbondale, KS (1395 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

48.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Black (12 Years) 12 Yrs

Carbondale Specialty Average (7.8 Years) 7.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	407	228	$191.66	$100.70
36415 Insertion of needle into vein for collection of blood sample	350	204	$16.00	$8.65
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	199	35	$75.34	$49.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	142	142	$233.35	$101.59
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	85	22	$69.25	$37.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	28	$258.42	$141.49
G0008 Administration of influenza virus vaccine	37	37	$36.00	$29.94
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$130.18	$71.45
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	32	30	$62.75	$5.45
81002 Urinalysis, manual test	31	26	$20.75	$3.41
90653 Vaccine for influenza for injection into muscle	30	30	$108.00	$81.82
82043 Urine microalbumin (protein) level	26	25	$82.82	$5.66
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	20	19	$45.00	$13.02
G0009 Administration of pneumococcal vaccine	19	19	$33.30	$29.94
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$540.07	$288.84
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	16	16	$268.70	$139.78
99495 Transitional care management services for problem of at least moderate complexity	16	16	$294.53	$161.42
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$256.10	$129.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	433	232	$191.66	$102.12
36415 Insertion of needle into vein for collection of blood sample	360	209	$16.00	$8.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	154	154	$233.35	$104.37
G0008 Administration of influenza virus vaccine	50	50	$36.00	$28.60
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	46	46	$115.00	$75.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	38	$258.42	$142.11
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$130.18	$72.46
81002 Urinalysis, manual test	34	26	$20.33	$3.41
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	31	29	$62.75	$5.72
82043 Urine microalbumin (protein) level	26	26	$81.32	$5.66
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	23	13	$75.34	$50.30
71046 X-ray of chest, 2 views	15	13	$54.50	$20.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	396	246	$181.97	$103.07
36415 Insertion of needle into vein for collection of blood sample	346	221	$16.00	$2.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	163	163	$215.66	$106.29
99213 Established patient office or other outpatient visit, typically 15 minutes	66	57	$121.47	$73.49
G0008 Administration of influenza virus vaccine	48	48	$35.83	$27.45
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	42	42	$113.05	$70.07
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	23	22	$62.75	$5.51
99495 Transitional care management services for problem of at least moderate complexity	18	16	$293.75	$167.33
82043 Urine microalbumin (protein) level	18	18	$81.32	$5.47
81002 Urinalysis, manual test	18	15	$20.33	$3.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$247.47	$145.95
G0009 Administration of pneumococcal vaccine	12	12	$33.30	$27.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	320	211	$177.80	$104.70
36415 Insertion of needle into vein for collection of blood sample	303	222	$16.00	$3.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	134	134	$214.25	$107.98
99213 Established patient office or other outpatient visit, typically 15 minutes	118	95	$120.60	$72.72
G0008 Administration of influenza virus vaccine	37	37	$33.30	$15.91
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	32	32	$73.16	$65.92
71046 X-ray of chest, 2 views	24	22	$54.50	$19.76
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	22	22	$62.75	$5.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$321.25	$137.40
81002 Urinalysis, manual test	14	14	$20.33	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	312	224	$166.19	$88.43
36415 Insertion of needle into vein for collection of blood sample	277	199	$16.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	132	107	$108.75	$60.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	100	$214.25	$95.01
G0008 Administration of influenza virus vaccine	38	37	$32.08	$15.83
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	34	34	$321.25	$140.51
71046 X-ray of chest, 2 views	29	28	$54.50	$18.65
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	25	25	$65.00	$59.07
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	22	22	$62.75	$7.79
81002 Urinalysis, manual test	16	15	$20.33	$3.45
99495 Transitional care management services for problem of at least moderate complexity	15	14	$293.25	$151.88
G0009 Administration of pneumococcal vaccine	14	14	$28.93	$15.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$232.72	$120.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	216	147	$16.00	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	137	$145.00	$86.95
99213 Established patient office or other outpatient visit, typically 15 minutes	192	135	$98.00	$59.86
71046 X-ray of chest, 2 views	39	37	$54.50	$17.66
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	37	35	$62.75	$7.68
99495 Transitional care management services for problem of at least moderate complexity	37	35	$293.25	$127.85
G0008 Administration of influenza virus vaccine	35	35	$24.00	$15.55
90653 Vaccine for influenza for injection into muscle	31	31	$58.00	$56.52
81002 Urinalysis, manual test	29	23	$20.33	$3.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$214.25	$94.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$218.00	$118.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	166	$98.00	$58.44
36415 Insertion of needle into vein for collection of blood sample	230	149	$16.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	111	$145.00	$86.29
71046 X-ray of chest, 2 views	39	32	$68.73	$16.48
G0008 Administration of influenza virus vaccine	30	30	$24.00	$19.07
99495 Transitional care management services for problem of at least moderate complexity	29	27	$293.25	$131.81
90653 Vaccine for influenza for injection into muscle	26	26	$58.00	$53.58
81002 Urinalysis, manual test	13	13	$20.33	$3.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$218.00	$117.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	283	172	$98.00	$58.30
36415 Insertion of needle into vein for collection of blood sample	213	118	$16.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	94	$145.00	$85.73
71020 X-ray of chest, 2 views, front and side	45	37	$69.50	$15.32
99495 Transitional care management services for problem of at least moderate complexity	25	23	$293.25	$130.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$218.00	$116.46
81002 Urinalysis, manual test	15	15	$20.33	$3.43
G0009 Administration of pneumococcal vaccine	14	14	$26.50	$23.43

Medical Specialties & State Licenses

CMS Verified: 2026-03-06

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KS 76631

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

201108160A (KS)

Medicaid State Provider ID

30004450320001 (KS)

Commercial Insurance / Payer ID Medicare

068002294 (KS)

Hospital & Practice Group Affiliations

Cotton-O'neil Clinic Revocable Trust

901 Sw Garfield Ave, Topeka, KS 666061670

Phone: 7853549591

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Gerald Marcell , MD

Family Medicine

NPI 1164477964

Doctor of Medicine (M.D.)

Dr. David Penn , MD

Family Medicine

NPI 1295775922

Doctor of Medicine (M.D.)

Dr. Brian Bondurant , MD

Family Medicine

NPI 1336566488

Doctor of Medicine (M.D.)

Jourdan Heitschmidt , APN

Nurse Practitioner

NPI 1598391484

Advanced Practice Nurse

Jenna Weekley , APRN

Nurse Practitioner

NPI 1699342915

Advanced Practice Registered Nurse

Jessica Bryant , APRN

Nurse Practitioner

NPI 1710582788

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

👤

Provider Name / Credentials Updated April 03, 2018

Recorded as KATY BLACK, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2018

Nurse Practitioner (License #76631 in KS)

✅

NPI Profile Active May 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 11, 2015

Registered at 211 E MAIN ST, CARBONDALE, KS 664149607 (Tel: 7858367111)

📍

Updated Business Mailing Address May 11, 2015

Registered at 211 E MAIN ST, CARBONDALE, KS 664149607 (Tel: 7858367111)

👤

Provider Name / Credentials Updated May 11, 2015

Recorded as KATY BLACK

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2015

Registered Nurse (License #83353 in KS)

🟢

Initial NPI Registration & Enumeration December 31, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043608920

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 31, 2014

Last Update: March 06, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

211 E Main St

Carbondale, KS 664149607

Phone: 7858367111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.