Molly Black
NPI 1114529674 · Certified Registered Nurse Anesthetist · Fort Polk, LA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Molly Black is a Certified Registered Nurse Anesthetist provider in Fort Polk, LA (NPI 1114529674).
Provider details
- NPI number
- 1114529674
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10041796 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
5 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
3 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$138 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 43 Bassett StFort Bragg, NC 28307-2032Phone: (210) 862-9692
- 3181 Sw Sam Jackson Park RdPortland, OR 97239-3011Phone: (503) 494-7641Fax: (503) 494-4661
Registry dates
- Enumerated
- 2020-11-10
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Frequently asked questions
- What is Molly Black's NPI number?
- Molly Black's National Provider Identifier (NPI) is 1114529674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Molly Black's specialty?
- Molly Black is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Molly Black located?
- Molly Black's practice location on file with NPPES is 1585 3rd St, Fort Polk, LA 71459-5102.
- What is Molly Black's phone number?
- The practice phone number listed in the NPPES registry for Molly Black is (210) 862-9692.
- Does Molly Black accept Medicare?
- Molly Black is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Molly Black's NPI active?
- Yes — Molly Black's NPI (1114529674) is active in the NPPES registry as of the last update on 2025-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.