Individual provider Active NPI

Sharon Andrus

  • Certified Registered Nurse Anesthetist
  • Charlottesville, VA
National Provider Identifier
1629330428
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024170063 Issued in VA
Practice address
4100 Olympia Cir Ste 201
Charlottesville, VA 22911-3620
Phone
(850) 566-8357
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rector and Visitors of the University of Virginia 96 clinicians
SMG Anesthesia Specialists LLC 501 clinicians

Practice addresses (Care Compare)

1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-0000

1215 Lee St Main Hospital
Charlottesville, VA 22908-0816
Phone (434) 924-0000

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-1000

2050 Abbey Rd
Suite D
Charlottesville, VA 22911-3553
Phone (434) 218-5090

2955 Ivy Rd
Charlottesville, VA 22903-9353

Hospital & facility affiliations

  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150126001640 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032433859 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024170063VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rector and Visitors of the University of Virginia Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2014 Accepting new patients
SMG Anesthesia Specialists LLC CurrentSince Jul 1, 2020 Accepting new patients
Rector & Visitors of the University of Virginia CurrentSince Nov 1, 2014 Accepting new patients
Indigo Dreams, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
Rector & Visitors of the University of Virginia Current Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

4100 Olympia Cir
Ste 201
Charlottesville, VA 22911
Phone (434) 220-6620

2955 Ivy Rd
Ste 201
Charlottesvle, VA 22903
Phone (434) 243-4520

2050 Abbey Rd
Ste D
Charlottesvle, VA 22911
Phone (434) 218-5090

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

3920A Bridge Rd
Suffolk, VA 23435
Phone (757) 983-0000

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024170063 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

4100 Olympia Cir Ste 201
Charlottesville, VA 22911-3620

Mailing address

717 Rockland Ave
Charlottesville, VA 22902-6350
Phone (850) 566-8357

Other practice location 1

1215 Lee St
Charlottesville, VA 22908-0816
Phone (850) 566-8357

Other practice location 2

717 Rockland Ave
Charlottesville, VA 22902-6350
Phone (850) 566-8357

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2022.

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1629330428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ROCKLAND AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229026350",
            "telephone_number": "850-566-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 OLYMPIA CIR STE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113620",
            "telephone_number": "850-566-8357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "850-566-8357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Rockland Ave",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229026350",
            "country_code": "US",
            "telephone_number": "850-566-8357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRUS",
        "first_name": "SHARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024170063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.