Jordan Black, CPNP-PC
NPI 1902496540 · Pediatric Nurse Practitioner · Town and Country, MO
Enrolled with Medicare as Order and Referring Only - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Black, CPNP-PC is a Pediatric Nurse Practitioner provider in Town and Country, MO (NPI 1902496540).
Provider details
- NPI number
- 1902496540
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- 2020021017 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (1)
- 1 Childrens PlSaint Louis, MO 63110-1002Phone: (314) 482-2323
Registry dates
- Enumerated
- 2021-01-18
- Last updated
- 2023-07-10
- Certified
- 2023-07-10
Frequently asked questions
- What is Jordan Black's NPI number?
- Jordan Black's National Provider Identifier (NPI) is 1902496540, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Black's specialty?
- Jordan Black is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jordan Black located?
- Jordan Black's practice location on file with NPPES is 13001 N Outer 40 Rd, Town and Country, MO 63017-5941.
- What is Jordan Black's phone number?
- The practice phone number listed in the NPPES registry for Jordan Black is (314) 454-5437.
- Does Jordan Black accept Medicare?
- Jordan Black is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Black's NPI active?
- Yes — Jordan Black's NPI (1902496540) is active in the NPPES registry as of the last update on 2023-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.