ANDREA M BLACK PA-C
NPI 1487922738
Physician Assistant in Moline, IL

Q: What is Andrea Black's NPI number?

The NPI number for Andrea Black is 1487922738. It was assigned to this individual provider in the NPPES registry on December 1, 2011.

Q: What is Andrea Black's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Black was last updated on February 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 01, 2011PECOS EnrolledAccepts Medicare Assignment

520 VALLEY VIEW DR, MOLINE, IL 61265(309) 762-3621(309) 762-3690 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Andrea M Black Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA M BLACK PA-C (NPI 1487922738) is an individual physician assistant in Moline, Illinois, licensed in Illinois (085.001633) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1487922738

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANDREA M BLACKCredential: PA-C

Location Address520 VALLEY VIEW DRMoline, IL 61265-6194

Mailing Address520 Valley View DrMoline, IL 61265-6194 · (309) 762-3621 · Fax (309) 762-3690

Phone(309) 762-3621

Fax(309) 762-3690

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateDecember 1, 2011

Last NPPES UpdateFebruary 13, 2019

✔ NPI 1487922738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IL · 085.001633✔ Licensed in IA · 002253

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

520 VALLEY VIEW DR, Moline, IL 61265

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea M Black Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608033014

PECOS Enrollment IDI20120621000560

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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

93 services18 patients

Established patient office or other outpatient visit, 20-29 minutes 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

64 services51 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

38 services11 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

35 services18 patients

X-ray lower and sacral spine, 2-3 views bending views 72120

This procedure involves taking X-ray images of your lower and sacral spine in 2-3 different angles while you bend. It helps in assessing spinal flexibility and identifying any abnormalities or injuries. It's safe, quick, and usually painless.

20 services12 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140280

Location2701 17th StRock Island, IL 61201 · Rock Island County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61265 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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.

EDWARD A CONNOLLY MD

Orthopaedic Surgery