Andrea Noel Chrisman, APRN-NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

111130 Issued in NE

Practice address

418 N Webb Rd
Grand Island, NE 68803-4045

Phone

(308) 384-9300

Fax

(308) 384-4542

NPI assigned

Jun 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Andrea Noel Sullivan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Heibel Dermatology Clinic LLC

  • Dermatology Physician
  • Lincoln, NE
  • NPI 1073679940
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1669783643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N WEBB RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034045",
            "telephone_number": "308-384-9300",
            "fax_number": "308-384-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N WEBB RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034045",
            "telephone_number": "308-384-9300",
            "fax_number": "308-384-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISMAN",
        "first_name": "ANDREA",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SULLIVAN",
            "middle_name": "NOEL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Prueksa Chittham-Bledsoe, OTR
• Melissa Dawn Choate
• Choice Care Chiropractic, P.C.
• Choice Family Health Care Inc.
• Nyapal Chol
• Taylor Nicole Chrisman, PA-C
• Cindy Marie Christensen
• Emily Rae Christensen, APRN
• Jasmine Christensen
• Stephanie Sue Christensen

• Nurse Practitioner in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.