Individual provider Active NPI

Andrew Brion Weatherington, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Wayne, IN
National Provider Identifier
1346978319
Registry record updated Oct 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28188820A Issued in IN
Practice address
5734 Coventry LN
Fort Wayne, IN 46804-7141
Phone
(260) 436-7875
NPI assigned
Aug 9, 2022
Last updated
Oct 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2022

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 28188820A IN Primary
Critical Care Medicine Registered Nurse 163WC0200X 28188820A IN

Addresses

Primary practice location

5734 Coventry LN
Fort Wayne, IN 46804-7141

Mailing address

8584 North750 West
Huntington, IN 46750
Phone (765) 401-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929001173 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779969639 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians
Australia Anesthesia Management LLCGroup PAC ID 9436671864, 58 clinicians
Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians

Practice addresses (Care Compare)

1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-7604

200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 364-1000

2001 Stults Rd
Huntington, IN 46750-1291
Phone (260) 355-3000

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 665-2141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28188820AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Northern Indiana Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 26, 2023 Accepting new patients
Anesthesia Care Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 25, 2023 Accepting new patients
Cameron Memorial Community Hospital, Inc. CurrentSince Oct 21, 2024 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 7, 2022 Accepting new patients
Australia Anesthesia Management LLC CurrentSince Jan 8, 2026 Accepting new patients
Cameron Memorial Community Hospital, Inc CurrentSince Oct 21, 2024 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Jan 1, 2023 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Sep 7, 2022 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 11, 2024 Accepting new patients
Mission Nursing Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2026 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2025 Accepting new patients

Locations

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

801 Saint Marys Dr
Ste 205
Evansville, IN 47714
Phone (812) 477-6103

801 Saint Marys Dr
Ste 205W
Evansville, IN 47714
Phone (812) 477-6103

7747 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-9104

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

410 Pilgrim Blvd
Hartford City, IN 47348
Phone (317) 962-4272

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

647 2nd St
Ste A
Jasper, IN 47546
Phone (812) 477-6103

1601 W Lincoln Rd
Kokomo, IN 46902
Phone (765) 453-5696

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

3800 Venetian Way
Ste 100
Newburgh, IN 47630
Phone (812) 266-2903

500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515

211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331

53830 Generations Dr
South Bend, IN 46635
Phone (574) 217-0174

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: aweatherington661574@direct.parkviewexchange.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1346978319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8584 NORTH750 WEST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "46750",
            "telephone_number": "765-401-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 COVENTRY LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047141",
            "telephone_number": "260-436-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERINGTON",
        "first_name": "ANDREW",
        "middle_name": "BRION",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28188820A",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IN",
            "license": "28188820A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2022; 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.