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LAURIE JO BLACK RN CNP
NPI 1679551329
Nurse Practitioner - Pediatrics in Saint Cloud, MN

Active since January 04, 2006PECOS Enrolled
1200 6TH AVE N, CENTRA CARE CLINIC, SAINT CLOUD, MN 56303(320) 251-2700(727) 587-7739 Get Directions Write a Review

NPPES record last updated: November 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1679551329
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLAURIE JO BLACKCredential: RN CNP
Location Address1200 6TH AVE N, CENTRA CARE CLINICSaint Cloud, MN 56303-2735
Mailing Address1200 6th Ave N, Centra Care ClinicSaint Cloud, MN 56303-2735 · (320) 251-2700
Phone(320) 251-2700
Fax(727) 587-7739
Sole ProprietorNo
Enumeration DateJanuary 4, 2006
Last NPPES UpdateNovember 20, 2014
✔ NPI 1679551329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in MN · R217274-5✔ Licensed in FL · ARNP2638602
1200 6TH AVE N, Saint Cloud, MN 56303
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Other Names 1

Other Name (5)Laurie Jo Pereira

Other Identifiers 2

Medicaid0307418800FL
Medicare PINGC696ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurie Jo Black Rn Cnp 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 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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

ELIZABETH RENDE
Pediatrics
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 251-2700
LYNN M WELLNER REGISTERED NURSE
Registered Nurse
1200 6TH AVE N
ST CLOUD, MN 56303
Stearns County (320) 240-2206
BHARATH MANU AKKARA VEETIL MBBS
Internal Medicine (Rheumatology)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131
ABIGAIL HOLMBERG PA
Physician Assistant (Medical)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 240-2829
JESSICA HOLLENKAMP CNP
Nurse Practitioner
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131
CHRISTINA K ANDERSON MD
Dermatology
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131
YAGA SAINE RN, CNP
Nurse Practitioner (Adult Health)
1200 6TH AVE N, CENTRACARE CLINIC
SAINT CLOUD, MN 56303
Stearns County (320) 656-7020
JYH-YAU TSAUR MD
Internal Medicine
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131

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.

What insurance does Laurie Black accept?

Health plans from HealthPartners and Medica 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 with the weekly NPPES data releases published by CMS.