Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea M Black, PA-C

Individual provider Physician Assistant · NPI 1487922738

Andrea M Black, PA-C is a Physician Assistant in Moline, Illinois. Qualified in 2011, 15 years ago. Practices with Ora Orthopedics PC, a 118-clinician group and accepts Medicare assignment. Licensed in Iowa and Illinois.

Years since qualifying
15
Licensed in
IA, IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

520 Valley View Dr
Moline, IL 61265-6194
Phone: (309) 762-3621
Fax: (309) 762-3690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.001633 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 002253 (IA)

Record details

NPI number1487922738
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2011
Last updated in NPPESFebruary 13, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ora Orthopedics Pc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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