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KATHLEEN BLACK TENEROWICZ NP
NPI 1093143968
Nurse Practitioner - Family in Dorchester, MA

Active since October 31, 2013PECOS EnrolledAccepts Medicare Assignment
1353 DORCHESTER AVE, DORCHESTER, MA 02122(617) 288-3230(617) 825-4972 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Black Tenerowicz Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN BLACK TENEROWICZ NP (NPI 1093143968) is an individual family provider in Dorchester, Massachusetts, licensed in Massachusetts (2269719) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital Plymouth, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093143968
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN BLACK TENEROWICZCredential: NP
Location Address1353 DORCHESTER AVEDorchester, MA 02122-2932
Mailing Address1353 Dorchester AveDorchester, MA 02122-2932 · (617) 288-3230 · Fax (617) 825-4972
Phone(617) 288-3230
Fax(617) 825-4972
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 31, 2013
Last NPPES UpdateApril 5, 2017
✔ NPI 1093143968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · 2269719
1353 DORCHESTER AVE, Dorchester, MA 02122
Open in Google Maps ↗

Other Names 1

Former Name (1)Kathleen Black

Other Identifiers 1

Medicaid110022129MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Black Tenerowicz Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870816499
PECOS Enrollment IDI20150106000865
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beth Israel Deaconess Hospital Plymouth

Acute Care Hospitals · Plymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220060
Location275 Sandwich StreetPlymouth, MA 02360 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUY NGUYEN MD
Pediatrics
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Suffolk County (617) 288-3230
CRAIG USHKURNIS PA-C
Physician Assistant
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Suffolk County (617) 288-3230
JEANNETTE F MCINNES LICSW
Social Worker (Clinical)
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Suffolk County (617) 288-3230
JUDITH R DAY
Social Worker (Clinical)
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Suffolk County (617) 288-3230
TUONG VAN NGUYEN
Psychiatry & Neurology (Psychiatry)
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Suffolk County (617) 288-3230
LINDA IERARDI
Physical Therapist
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Suffolk County (617) 740-2415
MS. DIEM CHAU LAM NGUYEN MSW
Social Worker
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Suffolk County (617) 288-3230
PENNY A. SULLIVAN MSW
Counselor (Mental Health)
1353 DORCHESTER AVE
DORCHESTER, MA 02122
Suffolk County (617) 288-3230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Black Tenerowicz's NPI number?

The NPI number for Kathleen Black Tenerowicz is 1093143968. It was assigned to this individual provider in the NPPES registry on October 31, 2013. The provider is also known as Kathleen Black.

Where is Kathleen Black Tenerowicz located?

Kathleen Black Tenerowicz practices at 1353 Dorchester Ave, Dorchester, MA 02122. The listed phone number is (617) 288-3230.

What is Kathleen Black Tenerowicz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathleen Black Tenerowicz enrolled in Medicare?

Yes. Kathleen Black Tenerowicz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kathleen Black Tenerowicz affiliated with any hospitals?

According to CMS data, Kathleen Black Tenerowicz is affiliated with Beth Israel Deaconess Hospital Plymouth.

When was this NPI record last updated?

The NPPES record for Kathleen Black Tenerowicz was last updated on April 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.