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

Mrs. Andrea Renee Black, APRN

Individual provider Family Nurse Practitioner · NPI 1093079998

Mrs. Andrea Renee Black, APRN is a Nurse Practitioner in Reno, Nevada. Graduated from University of Nevada School of Medicine in 2012, 14 years ago. Practices with Custom Physical Therapy Limited Partnership, a 81-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
14
Trained at
University of Nevada School of Medicine
Licensed in
NV
In the registry since
2012
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

5590 Kietzke Ln
Reno, NV 89511-3019
Phone: (775) 323-2080
Fax: (775) 683-9404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN001395 (NV)

Record details

NPI number1093079998
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 26, 2012
Last updated in NPPESJanuary 29, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Custom Physical Therapy Limited Partnership — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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