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

Andrew Black, APRN

Individual provider Gerontology Nurse Practitioner · NPI 1346726999

Andrew Black, APRN is a Nurse Practitioner in Medina, Ohio. Qualified in 2018, 8 years ago. Practices with Sushil K Jain MD Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

5041 Victor Dr Ste C
Medina, OH 44256-6028
Phone: (330) 723-3338
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN.CNP.023120 (OH)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence APRN.CNP.023120 (OH)

Record details

NPI number1346726999
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 17, 2018
Last updated in NPPESJuly 17, 2018
Mailing address273 Chester Ave, Wadsworth, OH 44281-8374

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sushil K Jain Md Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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