Individual provider Active NPI

Andrea Nimmons, C.R.N.A

  • Certified Registered Nurse Anesthetist
  • New Hyde Park, NY
National Provider Identifier
1669478814
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
418287 Issued in NY
Practice address
27005 76TH Ave
New Hyde Park, NY 11040-1433
Phone
(718) 470-7390
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 418287 NY Primary

Addresses

Primary practice location

27005 76TH Ave
New Hyde Park, NY 11040-1433

Mailing address

68 S Service Rd
Suite 350
Melville, NY 11747-2354
Phone (516) 945-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041115000887 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123082617 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Absnec Anesthesiology PCGroup PAC ID 9931574944, 5 clinicians
MK Anesthesia Services PLLCGroup PAC ID 1557758307, 17 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

118 Maple St
Great Neck, NY 11023-1135
Phone (516) 884-9709

749 61St St
Brooklyn, NY 11220-5162
Phone (201) 767-4040

761 55TH St
FL 2
Brooklyn, NY 11220-3210
Phone (917) 880-0023

822 57TH St
Apt 1
Brooklyn, NY 11220-5196
Phone (917) 880-0023

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triborough Gi PLLC CurrentSince Jul 8, 2023 Accepting new patients
Absnec Anesthesiology, PC CurrentSince Dec 7, 2025 Accepting new patients
MK Anesthesia Services PLLC CurrentSince Jun 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Jan 14, 2017 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Mar 7, 2025 Accepting new patients
Triborough Gi PLLC CurrentSince Jul 8, 2023 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Jul 1, 2002 Accepting new patients
Montefiore Medical Center CurrentSince Jan 14, 2017 Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1672 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (718) 795-2734

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

749 61st St
Brooklyn, NY 11220
Phone (201) 767-4040

3808 Union St
Flushing, NY 11354
Phone (718) 362-6298

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

27005 76th Ave
North New Hyde Pk, NY 11040

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

300 Community Dr
Plandome, NY 11030

2043 Richmond Ave
Staten Island, NY 10314
Phone (718) 710-4906

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 10

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 1

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1669478814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD",
            "address_2": "SUITE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472354",
            "telephone_number": "516-945-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27005 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401433",
            "telephone_number": "718-470-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMMONS",
        "first_name": "ANDREA",
        "credential": "C.R.N.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "418287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.