Individual provider Active NPI

Andrea M Bayliss, CRNA

  • Certified Registered Nurse Anesthetist
  • Kettering, OH
National Provider Identifier
1730155250
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN-261227 Issued in OH
Practice address
3535 Southern BVLD
Kettering, OH 45429
Phone
(937) 293-8228
Fax
(937) 293-8229
NPI assigned
Feb 24, 2006
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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 APN.0991232-CRNA CO
Certified Registered Nurse Anesthetist 367500000X RN-261227 OH Primary

Addresses

Primary practice location

3535 Southern BVLD
Kettering, OH 45429

Mailing address

3533 Southern Blvd
Suite 3100
Kettering, OH 45429-1264
Phone (937) 293-8228

Other identifiers 1

IdentifierTypeStateIssuer
2452028MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150113000923 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931192457 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arapahoe Gastroenterology Anesthesia Associates LLCGroup PAC ID 2466745294, 17 clinicians
CPR Anesthesia IncGroup PAC ID 7416272927, 41 clinicians
Diehl Anesthesia IncGroup PAC ID 6800197575, 35 clinicians

Practice addresses (Care Compare)

355 Union Blvd
Suite 10
Lakewood, CO 80228-1500
Phone (303) 205-1090

5060 S Syracuse St
Denver, CO 80237-2702
Phone (720) 231-3233

9320 Grand Cordera Pkwy
Colorado Springs, CO 80924-7003
Phone (719) 258-1250

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
87.67
Improvement activities
40
Cost
80

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0991232-CRNACOMDCertified Registered Nurse Anesthetist
RN-261227OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Gastroenterology Associates CurrentSince Jun 1, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 4, 2024 Accepting new patients
Epix Anesthesia of Colorado Springs, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 2, 2024 Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2015 Accepting new patients
Diehl Anesthesia Inc CurrentSince Jul 25, 2024 Accepting new patients
Madison Street Provider Network Inc CurrentSince Jan 1, 2018 Accepting new patients
Novamed Surgery Center of Colorado Springs LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 14, 2024 Accepting new patients
Madison Street Provider Network Inc CurrentSince Jan 1, 2018 Accepting new patients
Epix Anesthesia of Colorado Springs, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 2, 2024 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2019 Accepting new patients
Novamed Surgery Center of Denver LLC Past Accepting new patients
Novamed Surgery Center of Colorado Springs, LLC Past Accepting new patients

Locations

3000 S Jamaica Ct
Aurora, CO 80014
Phone (303) 337-4114

1615 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 635-7740

2920 N Cascade Ave
#P
Colorado Springs, CO 80907

2920 N Cascade Ave
Fl 1
Colorado Springs, CO 80907
Phone (719) 362-2300

2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907

2940 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 635-7321

3920 N Union Blvd
Ste 240
Colorado Springs, CO 80907
Phone (719) 227-9711

715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115

9320 Grand Cordera Pkwy
Colorado Springs, CO 80924
Phone (719) 258-1250

5060 S Syracuse St
Denver, CO 80237
Phone (303) 770-1056

55 Madison St
Ste 200
Denver, CO 80206
Phone (303) 388-0599

55 Madison St
Ste 355
Denver, CO 80206
Phone (303) 398-7320

3535 S Lafayette St
Ste 200
Englewood, CO 80113
Phone (303) 761-5555

1355 Riverside Ave
Ste C
Fort Collins, CO 80524
Phone (970) 449-8488

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

8000 E Maplewood Ave
Ste 200
Greenwood Village, CO 80111
Phone (303) 761-5646

13772 Denver West Pkwy
Ste 100
Lakewood, CO 80401
Phone (303) 279-2600

355 Union Blvd
Ste 10
Lakewood, CO 80228
Phone (303) 689-8700

1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

861189 Reliable Pkwy
Chicago, IL 60686

Interoperability endpoints

  • Direct secure messaging: andrea.bayliss.p1@direct.inlandeyespecialists.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1730155250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 SOUTHERN BLVD",
            "address_2": "SUITE 3100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291264",
            "telephone_number": "937-293-8228",
            "fax_number": "937-293-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN BVLD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-293-8228",
            "fax_number": "937-293-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLISS",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0991232-CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN-261227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2452028",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.