Individual provider Active NPI

Andrew J. Kiskadden, CRNA

  • Certified Registered Nurse Anesthetist
  • Dunkirk, NY
National Provider Identifier
1104863018
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN531962 Issued in PA
Practice address
529 Central Ave
Dunkirk, NY 14048-2599
Phone
(716) 366-1111
Fax
(704) 248-5537
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN531962 PA Primary
Certified Registered Nurse Anesthetist 367500000X 729433 NY

Addresses

Primary practice location

529 Central Ave
Dunkirk, NY 14048-2599

Mailing address

PO Box 1149
Erie, PA 16512-1149
Phone (814) 454-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060607000138 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385656479 Reassigns benefits to 2 organizations
I20170807000905 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385656479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of New York, P.C.Group PAC ID 7719041102, 50 clinicians
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Practice addresses (Care Compare)

207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 487-0141

232 W 25TH St
Ahn Saint Vincent Anesthesia
Erie, PA 16544-0002
Phone (814) 452-5000

Hospital & facility affiliations

  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2017 Accepting new patients
St Vincent Medical Education and Research Institute Inc CurrentSince Apr 1, 2022 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2019 Accepting new patients
Greater Erie Surgery Center, LLC CurrentSince Feb 7, 2019 Accepting new patients
Chautauqua Medical Practice, P.C. CurrentSince Apr 1, 2022 Accepting new patients
Eliseo M. Roquiz MD Past Accepting new patients
Premier Anesthesia of Florida LLC Nurse Anesthetist, Certified Registered PastSince Jan 19, 2020 Accepting new patients

Locations

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

155 E State St
Albion, PA 16401
Phone (814) 756-4917

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

312 W 25th St
Erie, PA 16502
Phone (814) 452-5309

5473 Village Common Dr
Ste 100
Erie, PA 16506
Phone (814) 836-0770

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

2374 Village Common Dr
Ste 200
Erie, PA 16506
Phone (814) 790-5636

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

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.

Hospital & facility affiliations 5

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1104863018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1149",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165121149",
            "telephone_number": "814-454-8885",
            "fax_number": "814-456-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482599",
            "telephone_number": "716-366-1111",
            "fax_number": "704-248-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISKADDEN",
        "first_name": "ANDREW",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN531962",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "729433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.

Verify at the official NPI Registry.