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

Troy Black

Individual provider Gerontology Nurse Practitioner · NPI 1154902922

Troy Black is a Nurse Practitioner in Beachwood, Ohio. Qualified in 2020, 6 years ago. Practices with Cornerstone Nurse Practitioners of Ohio LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

23900 Chagrin Blvd
Beachwood, OH 44122-5511
Phone: (216) 464-1000
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AG03210086 (OH)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence APRN.CNP.0028609 (OH)

Record details

NPI number1154902922
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2021
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022
Mailing addressPo Box 6243, Wheeling, WV 26003-0722

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cornerstone Nurse Practitioners Of Ohio Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Beachwood