Andrea Leigh Roberts, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R174683 Issued in MD

Practice address

1018 6TH Ave
Worthington, MN 56187-2202

Phone

(507) 372-2941

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN, SD2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TTB Services Prof LLCGroup PAC ID 3476797135, 23 clinicians

Pipestone County Medical CenterGroup PAC ID 0840109682, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pipestone County Medical Center Hospital, Pipestone, MN, CCN 241374

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/95143858-4077-4cf1-b5d2-c2a999f62bb3/

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.

• Pipestone County Medical Center

  • Critical Access Hospital
  • Pipestone, MN
  • NPI 1447300587
  Medicare reassignment Care Compare group NPD
• TTB Services Prof LLC

  • Certified Registered Nurse Anesthetist
  • Sioux Falls, SD
  • NPI 1962743492

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Medicare reassignment NPD
• County of Murray

  dba Murray County Memorial Hospital

  • Critical Access Hospital
  • Slayton, MN
  • NPI 1053497214
  Medicare reassignment NPD
• County of Murray

  dba Murray County Clinic

  • Clinic/Center
  • Slayton, MN
  • NPI 1679565287
  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Clinic Tracy

  • Family Medicine Physician
  • Tracy, MN
  • NPI 1699869875
  Medicare reassignment NPD
• Mobridge Regional Hospital

  • Critical Access Hospital
  • Mobridge, SD
  • NPI 1871554311
  Medicare reassignment NPD
• Black Hills Surgical Hospital, LLC

  dba Black Hills Surgical Hospital

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1336009646
  Medicare reassignment
• Avera Marshall

  dba Avera Medical Group Optometry - Marshall

  • Optometrist
  • Marshall, MN
  • NPI 1487422465
  NPD
• Avera Marshall

  dba Avera Marshall Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Marshall, MN
  • NPI 1962641936
  NPD
• Pipestone County Medical Center

  dba Pipestone Family Clinic

  • Family Medicine Physician
  • Pipestone, MN
  • NPI 1073576906
  NPD
• Sanford Health Network

  dba Sanford Luverne Clinic

  • Critical Access Hospital
  • Luverne, MN
  • NPI 1033495379
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pipestone County Medical Center

  • Critical Access Hospital
  • Pipestone, MN
  • NPI 1598751240
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1295866507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 6TH AVE",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872202",
            "telephone_number": "507-372-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ANDREA",
        "middle_name": "LEIGH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R174683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE CRNA LICENCE",
            "identifier": "L6-0A00586",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R174683",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD CRNA LICENSE",
            "identifier": "AC 000775",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Raymo, HIS
• Danielle Regnier, CNP
• Karissa Joy Reverts, D.C.
• Paul D Reynen, MD
• Rising Hope Ministries
• Heather Roberts, DPT
• Leticia Rodriguez
• James Allen Roe, PHARM.D
• Jacob John Roethler, D.C.
• Rural Health Care, Inc (Access Health Worthington)

• Certified Registered Nurse Anesthetist in Worthington, MN
• Providers in Worthington, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.