Individual provider Active NPI

Andrew Jackson Osborne, CRNA

  • Certified Registered Nurse Anesthetist
  • Mission, TX
National Provider Identifier
1306149109
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA193007 Issued in ME
Practice address
4207 Santa Inez
Mission, TX 78572-7366
Phone
(956) 638-5400
NPI assigned
Dec 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 112721-23 NH
Certified Registered Nurse Anesthetist 367500000X 637124 TX
Certified Registered Nurse Anesthetist 367500000X RNA193007 ME Primary

Addresses

Primary practice location

4207 Santa Inez
Mission, TX 78572-7366

Mailing address

415 Monroe Rd
Hampden, ME 04444-3006

Other practice location 1

1 Medical Center Dr # 1000
Lebanon, NH 03756-0001
Phone (603) 650-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190409002211 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537344130 Reassigns benefits to 3 organizations
I20241113002068 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537344130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.48 of 100Reported as group
Quality
71.71
Promoting interoperability
100
Improvement activities
40
Cost
69.07

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as group
Quality
77.69
Promoting interoperability
95
Improvement activities
40
Cost
78.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNA193007MEMDCertified Registered Nurse Anesthetist
112721-23NHMDCertified Registered Nurse Anesthetist
637124TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic CurrentSince Nov 6, 2024 Accepting new patients
Calais Community Hospital CurrentSince Sep 1, 2019 Accepting new patients
Penobscot Valley Hospital CurrentSince Jun 2, 2020 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Nov 6, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Nov 6, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Northern Maine Medical Center CurrentSince May 1, 2025 Accepting new patients
Northern Maine Medical Center CurrentSince May 1, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Nov 6, 2024 Accepting new patients
Penobscot Valley Hospital CurrentSince Jun 2, 2020 Accepting new patients
Calais Community Hospital CurrentSince Sep 1, 2019 Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P .a. PastSince May 7, 2024 Accepting new patients

Locations

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

7 Transalpine Rd
Lincoln Ctr, ME 04457
Phone (207) 794-3321

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1306149109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MONROE RD",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044443006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 SANTA INEZ",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727366",
            "telephone_number": "956-638-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr # 1000",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037560001",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "ANDREW",
        "middle_name": "JACKSON",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "112721-23",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "637124",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA193007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.