Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679551329 Individual Practitioner Female Practitioner

Laurie Jo Black , RN CNP

Nurse Practitioner - Pediatrics • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Laurie Black, RN CNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Saint Cloud, MN. Practice services are available at 1200 6TH AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 6th Ave N
Centra Care Clinic

Saint Cloud, MN 563032735

Telephone 3202512700
Fax 7275877739
Associated Practice Facility / Clinic
🏢 Centracare Clinic Facility NPI 1538696323

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Saint Cloud, MN (480 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MN R217274-5

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License FL ARNP2638602

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0307418800 (FL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Lucas Bachmann , MD

Psychiatry & Neurology - Psychiatry

NPI 1003137449

Doctor of Medicine (M.D.)

Monica Guggenberger , MS LMFT

Marriage & Family Therapist

NPI 1003187899

MSLMFT

Julie Traina , COTA

Occupational Therapy Assistant

NPI 1003345240

Certified Occupational Therapy Assistant

NPI 1003439241

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Alexa Herbst

Clinical Exercise Physiologist

NPI 1003557877
Veronica Chapp , FNP-C

Nurse Practitioner - Family

NPI 1003744707

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2014

Registered at 1200 6TH AVE N, CENTRA CARE CLINIC, SAINT CLOUD, MN 563032735 (Tel: 3202512700)

📍
Updated Business Mailing Address November 20, 2014

Registered at 1200 6TH AVE N, CENTRA CARE CLINIC, SAINT CLOUD, MN 563032735 (Tel: 3202512700)

👤
Provider Name / Credentials Updated November 20, 2014

Recorded as LAURIE BLACK, RN CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2014

Nurse Practitioner (License #R217274-5 in MN)

🟢
Initial NPI Registration & Enumeration January 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679551329
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2006
Last Update: November 20, 2014
Sole Proprietor: No

Mailing Address

1200 6th Ave N, Centra Care Clinic

Saint Cloud, MN 563032735

Phone: 3202512700

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.