Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1295068161 Deactivated / Inactive NPI Female Practitioner

Laura Black , NP

Nurse Practitioner • North Brookfield, MA

✓ Accepts Medicare Assignment Telehealth Available
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Laura Black has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 10, 2009
NPI Deactivation Date November 23, 2025
Total Practice Duration ~16 Years of Practice (2009 – 2025)

Professional Overview & Biography Verified Profile Summary

Laura Black, NP was a registered Nurse Practitioner practicing in North Brookfield, MA. Throughout an active medical career spanning 16 years, Laura Black provided care at the practice location at 163 N MAIN ST until profile deactivation on 2025-11-23.

Laura Black was affiliated with North Brookfield Primary Care and accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Historical Medicare Part B clinical services included visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

163 N Main St

North Brookfield, MA 015351400

Telephone 5086371604
Fax 5086371605
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in North Brookfield, MA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs Matches City Avg
City Avg: 17.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
1 Specialists

Practicing in North Brookfield, MA (3545 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
28.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Black (17 Years) 17 Yrs
North Brookfield Specialty Average (17.0 Years) 17.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
70 35 $30.00 $13.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
60 31 $145.00 $110.44

Medical Specialties & State Licenses

CMS Verified: 2025-12-12
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 186294

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

North Brookfield Primary Care

163 N Main St, North Brookfield, MA 015351400

Phone: 5083806366

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Albert Olivera , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1336782275

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Wendy Sergeant , NP

Nurse Practitioner - Adult Health

NPI 1871687459

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 12, 2025

Registered at 163 N MAIN ST, NORTH BROOKFIELD, MA 015351400 (Tel: 5086371604)

📍
Updated Business Mailing Address December 12, 2025

Registered at 163 N MAIN ST STE B, NORTH BROOKFIELD, MA 015351400 (Tel: 5086371604)

🔄
NPI Profile Reactivated December 04, 2025

Record officially reactivated for active practice on December 04, 2025

⚠️
NPI Profile Deactivated November 23, 2025

Record deactivated on November 23, 2025

NPI Profile Active September 10, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2009

Registered at 200 DEXTER AVE, SUITE K, WATERTOWN, MA 024724238 (Tel: 6176003195)

📍
Updated Business Mailing Address September 10, 2009

Registered at 200 DEXTER AVE, SUITE K, WATERTOWN, MA 024724238 (Tel: 6176003195)

👤
Provider Name / Credentials Updated September 10, 2009

Recorded as LAURA BLACK, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2009

Nurse Practitioner (License #186294 in MA)

🟢
Initial NPI Registration & Enumeration September 10, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Laura Black. Be the first to share your experience!

Sign in to leave a review for Laura Black

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1295068161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2009
Last Update: December 12, 2025
Deactivation Date: November 23, 2025
Sole Proprietor: No

Mailing Address

163 N Main St Ste B

North Brookfield, MA 015351400

Phone: 5086371604

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.