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Merticia Black

Case Manager/Care Coordinator β€’ Jacksonville, FL

Active NPI 1205655198 Individual Practitioner Female Practitioner
Practice location in NPPES

6641 Kane Creek Dr
Jacksonville, FL 322443496

Call 9043439230 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6641 Kane Creek Dr

Jacksonville, FL 322443496

Telephone 9043439230
Fax 9043690644
Organization at the Same NPPES Address or Phone
Bj & D Community Support Services Facility NPI 1689528176

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

229 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Jacksonville, FL (4,952 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 229 clinicians have the CMS telehealth indicator.

0% of these 229 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-16
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Day Training, Developmentally Disabled Services

NUCC Taxonomy Code: 251C00000X

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

7643 Gate Pkwy Ste 104

Jacksonville, FL 322562893

Phone: 9043439230

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location May 16, 2025

Registered at 6641 KANE CREEK DR, JACKSONVILLE, FL 322443496 (Tel: 9043439230)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2025

Day Training, Developmentally Disabled Services

βœ…
NPI Profile Active October 08, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 08, 2024

Registered at 2019 W BEAVER ST, JACKSONVILLE, FL 322097569 (Tel: 9043439230)

πŸ“
Business Mailing Address (Initial Record) October 08, 2024

Registered at 6641 KANE CREEK DR, JACKSONVILLE, FL 322443496 (Tel: 9043439230)

πŸ‘€
Provider Name / Credentials (Initial Record) October 08, 2024

Recorded as MERTICIA BLACK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2024

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration October 08, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205655198
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2024
Last Update: May 16, 2025
Sole Proprietor: Yes

Mailing Address

6641 Kane Creek Dr

Jacksonville, FL 322443496

Phone: 9043439230

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.