LAURIE JO BLACK RN CNP
NPI 1679551329
Nurse Practitioner - Pediatrics in Saint Cloud, MN
About Laurie Jo Black Rn Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURIE JO BLACK RN CNP (NPI 1679551329) is an individual pediatrics provider in Saint Cloud, Minnesota, licensed in Minnesota (R217274-5) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Laurie Jo Black Rn Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Laurie Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Cloud, MN 56303
- Reassigned Medicare billing, Minnesota enrollment
- 1,051 clinicians in this Medicare group
Saint Cloud, MN 56303
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Gillette Childrens Specialty Healthcare
- 304 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
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 Laurie Black's NPI number?
The NPI number for Laurie Black is 1679551329. It was assigned to this individual provider in the NPPES registry on January 4, 2006. The provider is also known as Laurie Jo Pereira.
Where is Laurie Black located?
Laurie Black practices at 1200 6th Ave N Centra Care Clinic, Saint Cloud, MN 56303. The listed phone number is (320) 251-2700.
What is Laurie Black's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Laurie Black enrolled in Medicare?
Yes. Laurie Black is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Laurie Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laurie Black reassigns Medicare benefits to 2 organizations: Centracare Clinic (Saint Cloud, MN) and Gillette Children's Specialty Healthcare (Saint Cloud, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laurie Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Laurie Black accept?
Health plans from HealthPartners list Laurie Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Laurie Black was last updated on November 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Laurie Jo Black, RN CNP · NPI 1679551329
Pediatrics physician in Saint Cloud, Minnesota. Individual provider, active in the CMS NPPES registry since January 4, 2006.
## Identity
- **NPI:** 1679551329 (Entity type: Individual)
- **Enumerated:** January 4, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** R217274-5 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 6TH AVE N, CENTRA CARE CLINIC, Saint Cloud, MN 56303-2735
- **Phone:** (320) 251-2700 · **Fax:** (727) 587-7739
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Centracare Clinic (NPI 1538696323, Saint Cloud, MN); Gillette Children's Specialty Healthcare (NPI 1982090528, Saint Cloud, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2014
- **Other identifiers:** Medicaid 0307418800 (FL); Medicare PIN GC696Z (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1679551329) · Data from the CMS NPPES public registry.