Active NPI
Andrew J Maasdam, CRNA
- Certified Registered Nurse Anesthetist
- Centralia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 61035689
- Practice address
- 914 S Scheuber Rd
Centralia, WA 98531-9027 - Phone
- (360) 736-2803
- NPI assigned
- Mar 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 61035689 | WA | Primary |
Addresses
Primary practice location
914 S Scheuber Rd
Centralia, WA 98531-9027
Mailing address
2224 N 51St St
Omaha, NE 68104-4337
Phone (402) 212-6962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone (360) 704-4743
406 Black Hills LN SW
Suite a
Olympia, WA 98502-8144
Phone (360) 754-1727
Hospital & facility affiliations
- Capital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.86 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 87.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61035689 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Medical Center Specialty Physicians, LLC | Current | Accepting new patients | |
| Olympia Orthopaedic Associates PLLC | Current | Accepting new patients | |
| Olympia Multi Specialty Clinic | Current | Accepting new patients | |
| Olympia Orthopaedic Associates, PLLC | Current | Accepting new patients |
Locations
615 Lilly Rd NE
Ste 240
Olympia, WA 98506
Phone (360) 413-3850
406 Black Hills Ln SW
Ste A
Olympia, WA 98502
Phone (360) 754-1727
3920 Capital Mall Dr SW
Ste 302
Olympia, WA 98502
Phone (360) 561-6435
3901 Capital Mall Dr SW
Ste B
Olympia, WA 98502
Phone (360) 528-8571
3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743
Interoperability endpoints
- amaasdam596835@direct.multicare.org
- https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Occupational Medicine Physician
- Olympia, WA
- NPI 1760785281
-
- Specialist
- Olympia, WA
- NPI 1356386783
-
- Ambulatory Surgical Clinic/Center
- Olympia, WA
- NPI 1083785398
-
- Durable Medical Equipment & Medical Supplies
- Centralia, WA
- NPI 1134089576
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1841258639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1366077745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 N 51ST ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681044337",
"telephone_number": "402-212-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 S SCHEUBER RD",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985319027",
"telephone_number": "360-736-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAASDAM",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-06",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "61035689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.