Individual provider Active NPI

Andrew Edward Pecore, CRNA

  • Certified Registered Nurse Anesthetist
  • Salina, KS
National Provider Identifier
1194368621
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
557915 Issued in KS
Practice address
200 S 5TH St Ste a
Salina, KS 67401-3906
Phone
(785) 827-2238
Fax
(785) 827-1684
NPI assigned
Oct 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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 57965 NM
Certified Registered Nurse Anesthetist 367500000X 557915 KS Primary

Addresses

Primary practice location

200 S 5TH St Ste a
Salina, KS 67401-3906

Mailing address

200 S 5TH St Ste a
Salina, KS 67401-3906
Phone (785) 827-2238

Other practice location 1

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201214002667 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042622128 Reassigns benefits to 1 organization
I20220119001765 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042622128 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Medical Center LLCGroup PAC ID 2668476862, 54 clinicians
Clinical Colleagues KS PAGroup PAC ID 3870921984, 44 clinicians

Practice addresses (Care Compare)

1124 W 21St St
Emergency Medicine
Andover, KS 67002-5500
Phone (316) 300-4911

600 Medical Ctr Dr
Newton, KS 67114-8780
Phone (850) 985-9180

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Sep 12, 2020 Accepting new patients
Kansas Medical Center, LLC CurrentSince Jul 1, 2024 Accepting new patients
Anesthesia Associates of Central Kansas, P.a. CurrentSince Jan 3, 2022 Accepting new patients
Kansas Medical Center, LLC Current Accepting new patients
Kansas Medical Center, LLC CurrentSince Jul 1, 2024 Accepting new patients
Kansas Medical Center LLC Current Accepting new patients
Clinical Colleagues KS PA Nurse Anesthetist, Certified Registered CurrentSince Mar 9, 2026 Accepting new patients

Locations

1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

200 S 5th St
Ste A
Salina, KS 67401
Phone (785) 827-2238

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

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 2

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1194368621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 5TH ST STE A",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013906",
            "telephone_number": "785-827-2238",
            "fax_number": "785-827-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 5TH ST STE A",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013906",
            "telephone_number": "785-827-2238",
            "fax_number": "785-827-1684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 E Nizhoni Blvd",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873015748",
            "country_code": "US",
            "telephone_number": "505-722-1790",
            "fax_number": "505-722-1771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECORE",
        "first_name": "ANDREW",
        "middle_name": "EDWARD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-28",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "57965",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.