Laura Black, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

186294 Issued in MA

Practice address

163 N Main St
North Brookfield, MA 01535-1400

Phone

(508) 637-1604

Fax

(508) 637-1605

NPI assigned

Sep 10, 2009

Reactivated

Dec 4, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Brookfield Primary CareGroup PAC ID 8921515016, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Braintree, MA, CCN 227475
• Vna Care Network Home health agency, Worcester, MA, CCN 227098
• Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019
• Baystate Wing Hospital Hospital, Palmer, MA, CCN 220030

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Brookfield Primary Care

  • Primary Care Clinic/Center
  • North Brookfield, MA
  • NPI 1356132955
  Medicare reassignment Care Compare group Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baystate Wing Hospital Corporation

  • General Acute Care Hospital
  • Palmer, MA
  • NPI 1962410233
  Care Compare affiliation
• Medical Resources Home Health Corp

  • Home Health Agency
  • Braintree, MA
  • NPI 1417934654
  Care Compare affiliation
• Umass Memorial Health-Harrington Hospital Inc

  • General Acute Care Hospital
  • Southbridge, MA
  • NPI 1790780047
  Care Compare affiliation
• Vna Care Network, Inc.

  • Home Health Agency
  • Worcester, MA
  • NPI 1922002286
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1295068161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 N MAIN ST STE B",
            "city": "NORTH BROOKFIELD",
            "state": "MA",
            "postal_code": "015351400",
            "telephone_number": "508-637-1604",
            "fax_number": "508-637-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 N MAIN ST",
            "city": "NORTH BROOKFIELD",
            "state": "MA",
            "postal_code": "015351400",
            "telephone_number": "508-637-1604",
            "fax_number": "508-637-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "LAURA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "deactivation_date": "2025-11-23",
        "reactivation_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "186294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behavior Assist Inc
• Brightstar Health and Wellness Services
• Abbey Capodanno, MA
• Seth Michael Cardinale
• Victoria Cross
• Danielle Cutler

• Nurse Practitioner in North Brookfield, MA
• Providers in North Brookfield, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.