Individual provider Active NPI

Andrew D. Metz, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • South Boston, VA
National Provider Identifier
1255876835
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024174388 Issued in VA
Practice address
2204 Wilborn Ave
South Boston, VA 24592-1645
Phone
(434) 517-3122
Fax
(434) 517-3060
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024174388 VA Primary

Addresses

Primary practice location

2204 Wilborn Ave
South Boston, VA 24592-1645

Mailing address

2204 Wilborn Ave
South Boston, VA 24592-1645
Phone (434) 517-3122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, SC, HI, NH5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20170221001594 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638453566 Reassigns benefits to 3 organizations
I20200909002991 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638453566 Reassigns benefits to 1 organization
I20230601001318 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638453566 Reassigns benefits to 1 organization
I20230920001571 HI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638453566 Reassigns benefits to 1 organization
I20231103001871 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638453566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Dr
Hardeeville, SC 29927-3446
Phone (864) 784-8000

580 Court St
Keene, NH 03431-1718
Phone (603) 354-5400

615 Ridge Rd
Roxboro, NC 27573-4629
Phone (336) 599-2121

6801 Gov GC Peery Hwy
Richlands, VA 24641-2194
Phone (276) 596-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024174388VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amoskeag Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 16, 2024 Accepting new patients
Dominion Health Medical Assoc. Current Accepting new patients
Medstream Anesthesia Hawaii, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 6, 2023 Accepting new patients
Dominion Health Medical Assoc CurrentSince Feb 6, 2017 Accepting new patients
Dominion Health Medical Assoc CurrentSince Feb 6, 2017 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2018 Accepting new patients
MCV Associated Physicians CurrentSince Aug 2, 2025 Accepting new patients

Locations

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

580 Court St
Keene, NH 03431
Phone (603) 354-5454

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

946 N Main St
Chase City, VA 23924
Phone (434) 372-5141

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

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 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": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1255876835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921645",
            "telephone_number": "434-517-3122",
            "fax_number": "434-517-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921645",
            "telephone_number": "434-517-3122",
            "fax_number": "434-517-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZ",
        "first_name": "ANDREW",
        "middle_name": "D.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024174388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.