Andrea R Black (NPI# 1093079998, PAC ID# 5991952079) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1093079998 |
| PAC ID by PECOS | 5991952079 |
| Professional Enrollment ID | I20120824000043 |
| Full Name | Andrea R Black |
| Organization Legal Name | SIERRA NEUROSURGERY GROUP |
| Address |
5590 Kietzke Ln Reno NV 89511-3019 |
| Phone Number | 7753232080 |
| Gender | F |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3870588619 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290001 | RENOWN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5590 Kietzke Ln, Reno, NV 89511-3019 | 7753232080 | SIERRA NEUROSURGERY GROUP |
| Organization Legal Name | SIERRA NEUROSURGERY GROUP |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Shuster Davis | Neurosurgery | Sierra Neurosurgery Group | 5590 Kietzke Lane, Reno, NV 89511-3019 |
| Jay Kevin Morgan | Neurosurgery | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Jacob Blake | Pain Management | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Caitlin M Clarkin | Physician Assistant | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Richard Gregory Perrin | Neurosurgery | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Michael Moore | Neurosurgery | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Christopher Paul Demers | Neurosurgery | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Jennifer Keller | Nurse Practitioner | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Christine Canner Peterson | Nurse Practitioner | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Dante Francis Vacca | Neurosurgery | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Street Address |
5590 KIETZKE LN |
| City | RENO |
| State | NV |
| Zip | 89511-3019 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay Kevin Morgan | Neurosurgery | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Jacob Blake | Pain Management | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Caitlin M Clarkin | Physician Assistant | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Richard Gregory Perrin | Neurosurgery | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Michael Moore | Neurosurgery | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Christopher Paul Demers | Neurosurgery | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Jennifer Keller | Nurse Practitioner | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Christine Canner Peterson | Nurse Practitioner | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Dante Francis Vacca | Neurosurgery | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Narendra Rebecca Ballard | Nurse Practitioner | Sierra Neurosurgery Group | 5590 Kietzke Ln, Reno, NV 89511-3019 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lexi Sara Jacobson | Physician Assistant | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 6650 Kietzke Ln, Reno, NV 89511 |
| John G Scott | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 6650 Kietzke Ln, Reno, NV 89511 |
| Kathryn G Baker | Nurse Practitioner | Anne G Hayes Dermatology PC | 509 Hammill Ln, Reno, NV 89511-1004 |
| Michael A Hodes | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| James C Mclennan | Family Medicine | 513 Hammill Ln, Reno, NV 89511-1004 | |
| Mel C Magboo | Internal Medicine | 555 Hammill Ln, Reno, NV 89511-1004 | |
| Christine N Schellin | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| Merle F Bruce | Otolaryngology | 501 Hammill Ln, Reno, NV 89511-1004 | |
| Danielle Catherine Beebe | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| Nancy R Henderson | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| Find all physicians in zip 89511 | |||
| City | RENO |
| Zip Code | 89511 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RENO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Andrea R Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.