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JENNIFER BLACK MD
NPI 1235558081
Obstetrics & Gynecology in Brattleboro, VT

Active since April 09, 2014PECOS Enrolled
17 BELMONT AVE, BRATTLEBORO, VT 05301(802) 257-0341 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Black Md NPPES

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

JENNIFER BLACK MD (NPI 1235558081) is an individual obstetrics & gynecology provider in Brattleboro, Vermont, licensed in Vermont (042.0014034) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1235558081
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJENNIFER BLACKCredential: MD
Location Address17 BELMONT AVEBrattleboro, VT 05301-7601
Mailing Address111 Pine StBrattleboro, VT 05301-6496 · (303) 550-8120
Phone(802) 257-0341
Sole ProprietorNo
Enumeration DateApril 9, 2014
Last NPPES UpdateSeptember 10, 2018
✔ NPI 1235558081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VT · 042.0014034
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

17 BELMONT AVE, Brattleboro, VT 05301
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Secondary Practice Location 1

Location 11374 Elizabeth St Apt 4Denver, CO 80206-2379 · Phone (303) 550-8120

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05301 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
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.

DR. AMY S GADOWSKI M.D.
Internal Medicine
17 BELMONT AVE
BRATTLEBORO, VT 05301
Windham County (802) 257-0341
DR. JOHN M. BURRELL MD
Anesthesiology
17 BELMONT AVE
BRATTLEBORO, VT 05301
Windham County (802) 257-8220
DR. WILLIAM VRANOS M.D.
Orthopaedic Surgery
17 BELMONT AVE, SUITE #2
BRATTLEBORO, VT 05301
Windham County (802) 254-6211
WALTER WAGENKNECHT MD
Radiology (Diagnostic Radiology)
17 BELMONT AVE
BRATTLEBORO, VT 05301
Windham County (800) 655-3603
CAROLYN LOUISE TAYLOR-OLSON MD
Internal Medicine
17 BELMONT AVE
BRATTLEBORO, VT 05301
Windham County (802) 442-8164
BRATTTLEBORO ANESTHESIA ASSOCIATES PC
Anesthesiology
17 BELMONT AVE
BRATTLEBORO, VT 05301
Windham County (802) 257-8220
DR. EDWARD F. ELLIOTT JR. M.D.
Radiology (Diagnostic Radiology)
17 BELMONT AVE
BRATTLEBORO, VT 05301
Windham County (802) 257-8820
DEBORAH L JONES RN FNP AACRN
Nurse Practitioner (Family)
17 BELMONT AVE, ATT'N: MARILYN BOUDREAU
BRATTLEBORO, VT 05301
Windham County (802) 257-8382

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 Jennifer Black's NPI number?

The NPI number for Jennifer Black is 1235558081. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Where is Jennifer Black located?

Jennifer Black practices at 17 Belmont Ave, Brattleboro, VT 05301. The listed phone number is (802) 257-0341.

What is Jennifer Black's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jennifer Black enrolled in Medicare?

Yes. Jennifer Black is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Black was last updated on September 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.