Individual provider Active NPI

Andrea Ibarra, CRNA

  • Certified Registered Nurse Anesthetist
  • Las Cruces, NM
National Provider Identifier
1558054106
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
71499 Issued in NM
Practice address
4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone
(915) 487-0555
NPI assigned
May 31, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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 71499 NM Primary
Registered Nurse 163W00000X 71499 NM

Addresses

Primary practice location

4311 E Lohman Ave
Las Cruces, NM 88011-8255

Mailing address

819 McKelligon Dr
El Paso, TX 79902-2007
Phone (915) 487-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, HI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231018003364 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305291873 Reassigns benefits to 3 organizations
I20240104000476 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305291873 Reassigns benefits to 4 organizations
I20250314002375 HI Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305291873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guide Anesthesia TX PLLCGroup PAC ID 5294170379, 35 clinicians
El Paso Ams PLLCGroup PAC ID 9931520970, 87 clinicians
Medstream Anesthesia Hawaii LLCGroup PAC ID 6002120599, 24 clinicians

Practice addresses (Care Compare)

1300 Murchison Dr
Suite 200
El Paso, TX 79902-4838
Phone (915) 594-9333

2000 Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 577-8467

67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 885-4444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71499NMMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Ams, PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 3, 2023 Accepting new patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
Guide Anesthesia TX PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 2, 2024 Accepting new patients
Otero County Hospital Association CurrentSince Nov 1, 2023 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Sep 14, 2023 Accepting new patients
Medstream Anesthesia Hawaii, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 7, 2025 Accepting new patients
Resource Anesthesiology Associates of NM Inc CurrentSince Mar 18, 2024 Accepting new patients
Gaswork Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients
Otero County Hospital Association CurrentSince Nov 1, 2023 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

125 W Castellano Dr
El Paso, TX 79912
Phone (915) 532-8200

1300 Murchison Dr
Ste 200
El Paso, TX 79902
Phone (915) 225-7600

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

1900 Denver Ave
El Paso, TX 79902
Phone (915) 787-6265

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

Organizations & group practices 9

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.

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": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1558054106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 MCKELLIGON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022007",
            "telephone_number": "915-487-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118255",
            "telephone_number": "915-487-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "ANDREA",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "71499",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "71499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.