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Active NPI 1669985792 Individual Practitioner Female Practitioner

Dawn Michelle Black , APRN FNP-C ACHPN

Nurse Practitioner - Family • Columbus, MI

Professional Overview & Biography Verified Profile Summary

Dawn Black, APRN FNP-C ACHPN is a registered healthcare professional specializing in Nurse Practitioner - Family in Columbus, MI. Practice services are available at 2372 KRONNER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2372 Kronner Rd

Columbus, MI 480633404

Telephone 8103000323

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Columbus, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Columbus, MI (5388 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-24
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License MI 4704213611

Definition to come...

Secondary Practice Locations

5229 Lakeshore Rd

Fort Gratiot, MI 480593122

Phone: 8103886300

1 Ford Pl Ste 4c

Detroit, MI 482023450

Phone: 3138746500

33464 Schoenherr Rd Ste 140

Sterling Heights, MI 483126319

Phone: 5862769500

Career & Practice History Timeline

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

17 Historical Events
📍
Updated Practice Location April 24, 2023

Registered at 2372 KRONNER RD, COLUMBUS, MI 480633404 (Tel: 8103000323)

📍
Updated Business Mailing Address April 24, 2023

Registered at 2372 KRONNER RD, COLUMBUS, MI 480633404 (Tel: 8103000323)

📍
Updated Practice Location August 24, 2022

Registered at 5229 LAKESHORE RD, FORT GRATIOT, MI 480593122 (Tel: 8103886300)

📍
Updated Business Mailing Address August 24, 2022

Registered at 5229 LAKESHORE RD, FORT GRATIOT, MI 480593122 (Tel: 8103886300)

👤
Provider Name / Credentials Updated January 28, 2021

Recorded as DAWN BLACK, APRN FNP-C ACHPN

📍
Updated Practice Location March 30, 2020

Registered at 33464 SCHOENHERR RD STE 140, STERLING HEIGHTS, MI 483126319 (Tel: 5862769500)

NPI Profile Active February 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2018

Registered at 1 FORD PL STE 4C, DETROIT, MI 482023450 (Tel: 3138746500)

📍
Updated Business Mailing Address February 05, 2018

Registered at 36558 WEBER RD, RICHMOND, MI 480623112 (Tel: 8103000323)

👤
Provider Name / Credentials Updated February 05, 2018

Recorded as DAWN BLACK, APRN FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2018

Nurse Practitioner (License #4704213611 in MI)

NPI Profile Active November 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2017

Registered at 36558 WEBER RD, RICHMOND, MI 480623112 (Tel: 8103000323)

📍
Updated Business Mailing Address November 11, 2017

Registered at 36558 WEBER RD, RICHMOND, MI 480623112 (Tel: 8103000323)

👤
Provider Name / Credentials Updated November 11, 2017

Recorded as DAWN BLACK, APRN FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2017

Nurse Practitioner (License #4704213611 in MI)

🟢
Initial NPI Registration & Enumeration November 11, 2017

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: 1669985792
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2017
Last Update: April 24, 2023
Sole Proprietor: Yes

Mailing Address

2372 Kronner Rd

Columbus, MI 480633404

Phone: 8103000323

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.