Andrew R Kruse, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30007941 Issued in WA

Practice address

3501 Shelby Rd
Suite B
Lynnwood, WA 98087-3599

Phone

(425) 742-9119

NPI assigned

Nov 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Washington Medical Group Inc PSGroup PAC ID 7517870314, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akruse727207@direct.multicare.org

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.

• Western Washington Medical Group, Inc PS

  • Psychiatry Physician
  • Everett, WA
  • NPI 1396413803
  Medicare reassignment Care Compare group NPD
• Western Washington Medical Group, Inc PS

  • Family Medicine Physician
  • Marysville, WA
  • NPI 1285978882
  NPD
• Western Washington Medical Group, Inc PS

  • Infectious Disease Physician
  • Everett, WA
  • NPI 1427816305
  NPD
• Western Washington Medical Group, Inc PS

  • Gastroenterology Physician
  • Everett, WA
  • NPI 1023065919
  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1316128622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SHELBY RD",
            "address_2": "SUITE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980873599",
            "telephone_number": "425-742-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SHELBY RD",
            "address_2": "SUITE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980873599",
            "telephone_number": "425-742-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "ANDREW",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalie H Kroeker
• Madison Brooke Kroeze
• Joshua Krolikowski, OTR/L
• Jolene A Kron, BA, BS
• Ma-Mentay Krubally
• Elena Krusteva
• Svitlana Kryshtanovska, RN
• Eun Young Ku, RC
• Jasmine Ku
• Enoch Rudolph Kuki

• Family Nurse Practitioner in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.