Active NPI
Andrew Jason Costin
- Certified Registered Nurse Anesthetist
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA-01536
- Practice address
- 2450 S Telshor Blvd
Las Cruces, NM 88011-5069 - Phone
- (575) 522-8641
- NPI assigned
- Mar 12, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA-01536 | NM | Primary |
Addresses
Primary practice location
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Mailing address
4161 Purple Sage Dr
Las Cruces, NM 88011-4377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2550 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (800) 421-8274
2560 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (575) 800-3868
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Crosses Anesthesia LLC | Current | Accepting new patients | |
| Sierra Vista Hospital | Current | Accepting new patients | |
| Three Crosses Regional Hospital LLC | Current | Accepting new patients | |
| Main Street Anesthesia of New Mexico, LLC | Current | Accepting new patients | |
| Las Cruces HB Medical Services LLC | Current | Accepting new patients | |
| Resource Anesthesiology Associates of NM Inc | Current | Accepting new patients | |
| Sierra Vista Hospital | Past | Accepting new patients |
Locations
2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100
4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
2560 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 800-3868
1205 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 260-4300
2550 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 522-7247
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Las Cruces, NM
- NPI 1487248050
-
dba MountainView Regional Medical Center
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1598446171
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Anesthesiology Physician
- Farmington, NM
- NPI 1386929644
-
- Critical Access Hospital
- Truth Or Consequences, NM
- NPI 1760446009
-
- Anesthesiology Physician
- Las Cruces, NM
- NPI 1255906855
-
- Rural Health Clinic/Center
- Truth Or Consequences, NM
- NPI 1689638942
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1760020044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690070400000",
"number": "1073016549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4161 PURPLE SAGE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 S TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115069",
"telephone_number": "575-522-8641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTIN",
"first_name": "ANDREW",
"middle_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-12",
"last_updated": "2023-07-23",
"certification_date": "2023-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "CRNA-01536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.