Individual provider Active NPI

Adina Veronela Andras, FNP-C

  • Family Nurse Practitioner
  • White Haven, PA
National Provider Identifier
1750999173
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022298 Issued in PA
Practice address
640 Tunnel Rd
White Haven, PA 18661-3621
Phone
(570) 417-8318
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN684324 PA
Family Nurse Practitioner 363LF0000X SP022298 PA Primary

Addresses

Primary practice location

640 Tunnel Rd
White Haven, PA 18661-3621

Mailing address

640 Tunnel Rd
White Haven, PA 18661-3621
Phone (570) 417-8318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201012001242 PA Practitioner - Nurse Practitioner 6709206824 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians

Practice addresses (Care Compare)

100 Abbeyville Rd
Lancaster, PA 17603-4604
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN684324PAMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Inpatient Medicine PC CurrentSince Aug 1, 2020 Accepting new patients
Daniel Funsch Jr, M.D., P.C. CurrentSince Aug 19, 2025 Accepting new patients
Infinite Medical PC CurrentSince Apr 1, 2022 Accepting new patients
Ivy Medical Group PLLC CurrentSince Nov 19, 2024 Accepting new patients
Advanced Inpatient Medicine Lehigh PC CurrentSince Sep 6, 2020 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

885 3rd Ave
New York, NY 10022
Phone (212) 906-1200

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

498 Washington St
Easton, PA 18042
Phone (610) 253-4821

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1750999173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 TUNNEL RD",
            "city": "WHITE HAVEN",
            "state": "PA",
            "postal_code": "186613621",
            "telephone_number": "570-417-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 TUNNEL RD",
            "city": "WHITE HAVEN",
            "state": "PA",
            "postal_code": "186613621",
            "telephone_number": "570-417-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRAS",
        "first_name": "ADINA",
        "middle_name": "VERONELA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "PA",
            "license": "RN684324",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Haven, PA

Sources for this page

Verify at the official NPI Registry.