Thomas Black, NP
NPI 1619346376 · Family Nurse Practitioner · Edgewood, NM
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Black, NP is a Family Nurse Practitioner provider in Edgewood, NM (NPI 1619346376).
Provider details
- NPI number
- 1619346376
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 02922 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-09-23
- Last updated
- 2021-07-26
- Certified
- 2021-07-26
Frequently asked questions
- What is Thomas Black's NPI number?
- Thomas Black's National Provider Identifier (NPI) is 1619346376, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Black's specialty?
- Thomas Black is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Thomas Black located?
- Thomas Black's practice location on file with NPPES is 104 Quail Trail, Edgewood, NM 87015.
- What is Thomas Black's phone number?
- The practice phone number listed in the NPPES registry for Thomas Black is (505) 208-0208.
- Does Thomas Black accept Medicare?
- Thomas Black is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Black's NPI active?
- Yes — Thomas Black's NPI (1619346376) is active in the NPPES registry as of the last update on 2021-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.