Individual provider Active NPI

Andrea Joyce Tschannerl, APRN

  • Family Nurse Practitioner
  • Avon, CO
National Provider Identifier
1164191961
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012153 Issued in FL
Practice address
50 Buck Creek Rd Ste 100
Avon, CO 81620-5428
Phone
(970) 926-6340
NPI assigned
Sep 7, 2021
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11012153 FL Primary

Addresses

Primary practice location

50 Buck Creek Rd Ste 100
Avon, CO 81620-5428

Mailing address

PO Box 842578
Kansas City, MO 64184-2578
Phone (970) 926-6350

Other practice location 1

365 Dillon Ridge Rd Ste 1200
Dillon, CO 80435-6344
Phone (970) 926-6340

Other practice location 2

50 Buck Creek Rd Ste 200
Avon, CO 81620-5428
Phone (970) 926-6340

Other practice location 3

377 Sylvan Lake Rd Ste 120
Eagle, CO 81631-6779
Phone (970) 926-6340

Other practice location 4

180 S Frontage Rd W Ste 5800
Vail, CO 81657-5038
Phone (970) 926-6340

Other identifiers 1

IdentifierTypeStateIssuer
UNKOtherFLAPRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 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
I20211008001948 FL Practitioner - Nurse Practitioner 6800294620 Reassigns benefits to 2 organizations
I20250306001799 CO Practitioner - Nurse Practitioner 6800294620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Mountain Medical, LLCGroup PAC ID 5496087181, 63 clinicians

Practice addresses (Care Compare)

50 Buck Creek Rd
Suite 100
Avon, CO 81620-5428
Phone (970) 926-6340

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Family Medicine P a CurrentSince Sep 15, 2021 Accepting new patients
Colorado Mountain Medical, LLC CurrentSince Feb 3, 2025 Accepting new patients
Flagler Family Nursing Home Care LLC CurrentSince Dec 22, 2021 Accepting new patients
Colorado Mountain Medical, LLC Current Accepting new patients
Flagler Family Medicine PA CurrentSince Sep 15, 2021 Accepting new patients
Colorado Mountain Medical, LLC CurrentSince Feb 3, 2025 Accepting new patients
Colorado Mountain Medical, PC Past Accepting new patients

Locations

365 Dillon Ridge Rd
Ste 1200
Dillon, CO 80435
Phone (970) 479-7272

377 Sylvan Lake Rd
Ste 120
Eagle, CO 81631
Phone (970) 926-1800

180 S Frontage Rd W
Ste 5800
Vail, CO 81657

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

130 Health Park Blvd
St Augustine, FL 32086
Phone (904) 826-3469

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADBCAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1164191961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842578",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641842578",
            "telephone_number": "970-926-6350",
            "fax_number": "970-926-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BUCK CREEK RD STE 100",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205428",
            "telephone_number": "970-926-6340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Dillon Ridge Rd Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "CO",
            "postal_code": "804356344",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Buck Creek Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CO",
            "postal_code": "816205428",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "377 Sylvan Lake Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "CO",
            "postal_code": "816316779",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 S Frontage Rd W Ste 5800",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575038",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSCHANNERL",
        "first_name": "ANDREA",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "UNK",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CO

Sources for this page

Verify at the official NPI Registry.