Individual provider Active NPI

Andrea Lynn Wojdyla, CRNA

  • Certified Registered Nurse Anesthetist
  • Indianapolis, IN
National Provider Identifier
1619291358
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28202194A Issued in IN
Practice address
7150 Clearvista Dr
Indianapolis, IN 46256
Phone
(317) 621-5890
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 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 088212 IA
Certified Registered Nurse Anesthetist 367500000X 28202194A IN Primary

Addresses

Primary practice location

7150 Clearvista Dr
Indianapolis, IN 46256

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other identifiers 1

IdentifierTypeStateIssuer
300014031MedicaidIN

Other names 1

  • Andrea Lillie Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awojdyla315561@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121012000814 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517116296 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians
Dialysis Vascular Specialists of Indiana LLCGroup PAC ID 5092194068, 3 clinicians
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians
Associated Anesthesiologists of Fort Wayne PCGroup PAC ID 2264412444, 101 clinicians

Practice addresses (Care Compare)

1101 Michigan Ave
Loganport, IN 46947-1528
Phone (850) 497-6702

2140 N Capitol Ave
Suite 100
Indianapolis, IN 46202-1225
Phone (317) 644-1404

441 N Wabash Ave
Marion, IN 46952-2612
Phone (765) 660-6000

7952 W Jefferson Blvd
The Orthopedic Hosp of Lutheran HN
Fort Wayne, IN 46804-4140
Phone (260) 435-2999

Hospital & facility affiliations

  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Marion General Hospital Hospital, Marion, IN, CCN 150011
  • The Orthopaedic Hospital of Lutheran Health Networ Hospital, Ft Wayne, IN, CCN 150168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
088212IAMDCertified Registered Nurse Anesthetist
28202194AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jul 30, 2018 Accepting new patients
Dialysis Vascular Specialists of Indiana LLC CurrentSince Dec 11, 2022 Accepting new patients
Associated Anesthesiologists of Fort Wayne PC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 30, 2018 Accepting new patients
Aas Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
Indiana Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2022 Accepting new patients
Great Lakes Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2012 Accepting new patients
Indiana Vascular Surgery Center LLC CurrentSince Nov 17, 2024 Accepting new patients
Wisconsin Institute of Urology SC Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

10300 N Illinois St
Ste 1300
Carmel, IN 46290
Phone (317) 688-3690

1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875

4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000

10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875

7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999

2140 N Capitol Ave
Ste 100
Indianapolis, IN 46202
Phone (317) 644-1404

7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041

9202 N Meridian St
Ste 150
Indianapolis, IN 46260
Phone (317) 841-2020

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

1400 Teal Rd
Ste 7
Lafayette, IN 47905
Phone (765) 474-0272

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

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: awojdyla315561@ecommunitydirect.com

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1619291358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 CLEARVISTA DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46256",
            "telephone_number": "317-621-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJDYLA",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "088212",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28202194A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300014031",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awojdyla315561@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "7150 Clearvista Dr",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LILLIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.