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

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: August 23, 2026.

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
Open in Google Maps ↗

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 IDI20120213000338, I20120621000560
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 10

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.
370 services25 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
112 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
63 services52 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.
30 services26 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
25 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity - Bettendorf

Acute Care Hospitals · Bettendorf, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160104
Location4500 Utica Ridge RoadBettendorf, IA 52722 · Scott 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.

SALLY HOWELL OTR/L
Occupational Therapist
520 VALLEY VIEW DR, STE 200
MOLINE, IL 61265
Rock Island County (309) 797-0866
DR. RUSSELL MARTIN CARLSON DPM
Podiatrist (Foot & Ankle Surgery)
520 VALLEY VIEW DR
MOLINE, IL 61265
Rock Island County (309) 762-3621
ASHLEY M SCHURR DPT
Physical Therapist
520 VALLEY VIEW DR, SUITE 200
MOLINE, IL 61265
Rock Island County (309) 797-0866
MICHAEL RICHARD BERRY MD
Orthopaedic Surgery
520 VALLEY VIEW DR
MOLINE, IL 61265
Rock Island County (309) 762-3621
JENNIFER LYNNE MILLER
Physician Assistant
520 VALLEY VIEW DR
MOLINE, IL 61265
Rock Island County (309) 762-3621
JOHN JOSEPH VAN STRATEN
Anesthesiology (Pain Medicine)
520 VALLEY VIEW DR
MOLINE, IL 61265
Rock Island County (309) 762-3621
STEVEN A BOARDMAN M.D.
Orthopaedic Surgery
520 VALLEY VIEW DR
MOLINE, IL 61265
Rock Island County (309) 762-3621
DR. KEVIN ANTHONY HODGE MD
Orthopaedic Surgery
520 VALLEY VIEW DR
MOLINE, IL 61265
Rock Island County (309) 762-3621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Andrea Black located?

Andrea Black practices at 520 Valley View Dr, Moline, IL 61265. The listed phone number is (309) 762-3621.

What is Andrea Black's specialty?

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

Is Andrea Black enrolled in Medicare?

Yes. Andrea Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Black accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Andrea Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrea Black affiliated with any hospitals?

According to CMS data, Andrea Black is affiliated with Trinity Rock Island and Trinity - Bettendorf.

When was this NPI record last updated?

The NPPES record for Andrea Black was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.