MRS. ANDREA RENEE BLACK (APRN) – Family Nurse Practitioner, NPI 1093079998
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,947 NURSE PRACTITIONER in NV
Provider Addresses for MRS. ANDREA RENEE BLACK (APRN)
5590 KIETZKE LN
RENO, NV 895113019
Phone: (775) 323-2080
Fax: (775) 323-2334
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $357.
Total Amount is formed as General ($357) + Research ($0) + Ownership ($0) = $357.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($75).
Total Amount
$357
General + Research + Ownership
Payments
19
Total payment records
General Amount
$357
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $75 |
| PFIZER INC. | $50 |
| Nevro Corp. | $44 |
| Medtronic, Inc. | $36 |
| SPR Therapeutics, Inc | $35 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120824000043 | I | Nurse Practitioner | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 353 | 139 | $0 |
| 96146 | Administration of psychological or neuropsychological test by single standardized instrument via electronic platform with automated result | 208 | 118 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 196 | 129 | $0 |
| 20553 | Injection of trigger points, 3 or more muscles | 51 | 27 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 44 | 31 | $0 |
Insurance plans in this area (ZIP 89511)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | NV | 83036 | Hemoglobin A1C level | 13 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | NV | |
| - | NV | |
| Physician Assistant | NV | |
| Anesthesiology, Pain Management | NV | |
| N E U R O S U R G E R Y | CA | |
| Nurse Practitioner | NV | |
| Physician Assistant | NV | |
| N E U R O S U R G E R Y | GA | |
| Nurse Practitioner | NV | |
| N E U R O S U R G E R Y | NV |
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