Individual provider Active NPI

Andrea Lynn McCoy, NP

  • Gerontology Nurse Practitioner
  • Houston, TX
National Provider Identifier
1053032482
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71013660A Issued in IN
Practice address
440 Louisiana St Ste 900
Houston, TX 77002-1062
Phone
(914) 432-2166
Fax
(800) 886-7167
NPI assigned
Sep 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71013660A IN
Gerontology Nurse Practitioner 363LG0600X 209025961 IL
Adult Health Nurse Practitioner 363LA2200X 28225654A IN
Gerontology Nurse Practitioner 363LG0600X 71013660A IN Primary

Addresses

Primary practice location

440 Louisiana St Ste 900
Houston, TX 77002-1062

Mailing address

440 Louisiana St Ste 900
Houston, TX 77002-1062
Phone (914) 432-2166

Other practice location 1

2343 College Ave
Terre Haute, IN 47803-2935
Phone (812) 878-0465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221028000929 IL Practitioner - Nurse Practitioner 2668849043 Reassigns benefits to 1 organization
I20230316002487 IN Practitioner - Nurse Practitioner 2668849043 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HPW Center for Diabetes LLCGroup PAC ID 9537568993, 9 clinicians

Practice addresses (Care Compare)

3560 S 4TH St
Terre Haute, IN 47802-5540
Phone (812) 235-8496

645 S Central Ave
Chicago, IL 60644-5059
Phone (812) 235-8496

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209025961ILMDGerontology Nurse Practitioner
71013660AINMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Medical Partners of Indiana, LLC Nurse Practitioner CurrentSince Sep 2, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Jun 30, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Jun 30, 2025 Accepting new patients
Abode Care Partners Al VB, LLC Nurse Practitioner CurrentSince Jun 30, 2025 Accepting new patients
HPW Center for Diabetes, LLC CurrentSince Feb 27, 2023 Accepting new patients
Providence Medical Group LLC CurrentSince Mar 8, 2023 Accepting new patients
Abode Care Partners Al VB, LLC Nurse Practitioner CurrentSince Jun 30, 2025 Accepting new patients

Locations

4646 N Marine Dr
#B125
Chicago, IL 60640
Phone (773) 572-0032

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

463 S Park Ridge Rd
#101
Bloomington, IN 47401
Phone (812) 235-8496

11595 N Meridian St
Ste 515
Carmel, IN 46032
Phone (317) 983-1716

1935 N Capitol Ave
Ste 130
Indianapolis, IN 46202
Phone (812) 235-8496

2224 Lafayette Ave
Terre Haute, IN 47805
Phone (812) 235-8496

3500 Maple Ave
Terre Haute, IN 47804
Phone (812) 238-1555

3560 S 4th St
Terre Haute, IN 47802
Phone (812) 235-8496

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1053032482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 LOUISIANA ST STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770021062",
            "telephone_number": "914-432-2166",
            "fax_number": "800-886-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 LOUISIANA ST STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770021062",
            "telephone_number": "914-432-2166",
            "fax_number": "800-886-7167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2343 College Ave",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478032935",
            "country_code": "US",
            "telephone_number": "812-878-0465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71013660A",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209025961",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28225654A",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71013660A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.