Individual provider Active NPI

Andrew John Candelore, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Reading, PA
National Provider Identifier
1780294199
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN639064 Issued in PA
Practice address
2500 Bernville Rd
Reading, PA 19605-9453
Phone
(610) 378-2055
Fax
(610) 378-2058
NPI assigned
Aug 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L1-0051674 DE
Certified Registered Nurse Anesthetist 367500000X L6-0A10834 DE
Certified Registered Nurse Anesthetist 367500000X RN639064 PA Primary

Addresses

Primary practice location

2500 Bernville Rd
Reading, PA 19605-9453

Mailing address

2050 Morris St
Philadelphia, PA 19145-2009
Phone (484) 744-3714

Other practice location 1

501 W 14th St
Wilmington, DE 19801-1013
Phone (302) 320-4410

Other practice location 2

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrew.candelore@christianacare.org Direct Christiana Care

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201124001185 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618388638 Reassigns benefits to 1 organization
I20230925001216 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618388638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Medical GroupGroup PAC ID 3779688650, 190 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2000

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 349-8310

Hospital & facility affiliations

  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Merit-based Incentive Payment System (MIPS)

Final score
79.31 of 100Reported as group
Quality
55.01
Promoting interoperability
99
Improvement activities
40
Cost
76.86

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0051674DEMDRegistered Nurse
L6-0A10834DEMDCertified Registered Nurse Anesthetist
RN639064PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Medical Group Nurse Anesthetist, Certified Registered CurrentSince Oct 14, 2024 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Anesthesia Services PA CurrentSince Nov 19, 2020 Accepting new patients
University of Penn-Medical Group CurrentSince Sep 5, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince Sep 5, 2023 Accepting new patients
St. Joseph Medical Group CurrentSince Oct 14, 2024 Accepting new patients

Locations

2 Reads Way
Ste 201
New Castle, DE 19720
Phone (302) 709-4504

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Organizations & group practices 6

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 3

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": "1596240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1780294199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 MORRIS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452009",
            "telephone_number": "484-744-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BERNVILLE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059453",
            "telephone_number": "610-378-2055",
            "fax_number": "610-378-2058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W 14th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011013",
            "country_code": "US",
            "telephone_number": "302-320-4410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANDELORE",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-01",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0051674",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L6-0A10834",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN639064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.candelore@christianacare.org",
            "affiliation": "Y",
            "endpointDescription": "Hospital email",
            "affiliationName": "Christiana Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4755 Ogletown Stanton Rd",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197180001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.