Active NPI
Andrea Franchesca Reiss, CRNA
- Certified Registered Nurse Anesthetist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 65244
- Practice address
- 6709 Academy Rd NE Ste a
Albuquerque, NM 87109-3363 - Phone
- (505) 308-3145
- NPI assigned
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 65244 | NM | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN661420 | PA |
Addresses
Primary practice location
6709 Academy Rd NE Ste a
Albuquerque, NM 87109-3363
Mailing address
107 Johnson Mesa
Santa Fe, NM 87508-4806
Other practice location 1
51 N 39th St
Philadelphia, PA 19104-2640
Phone (215) 662-8000
Other practice location 2
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (800) 789-7366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS00230885 | Other | NM | CONTROLLED SUBSTANCE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | andrea.azarcon@pennmedicine.upenn.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3001 Broadmoor Blvd NE
Unm Sandoval Regional Medical Cente
Rio Rancho, NM 87144-2100
Phone (505) 994-7000
4801 Beckner Rd
Santa Fe, NM 87507-3641
Phone (505) 772-1234
8300 Constitution Ave NE
Albuquerque, NM 87110-7613
Phone (505) 841-1234
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN661420 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Anesthesia of New Mexico, LLC | Current | Accepting new patients | |
| Anesthesia Associates of New Mexico P C | Current | Accepting new patients |
Locations
6709 Academy Rd NE
Ste A
Albuquerque, NM 87109
Phone (505) 308-3145
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
Organizations & group practices 2
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.
-
- Specialist
- Albuquerque, NM
- NPI 1912900754
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Presbyterian Santa Fe Medical Center
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1730684853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1881235562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 JOHNSON MESA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875084806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6709 ACADEMY RD NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093363",
"telephone_number": "505-308-3145"
}
],
"practiceLocations": [
{
"address_1": "51 N 39th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191042640",
"country_code": "US",
"telephone_number": "215-662-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Spruce St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044238",
"country_code": "US",
"telephone_number": "800-789-7366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REISS",
"first_name": "ANDREA",
"middle_name": "FRANCHESCA",
"name_prefix": "Dr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "65244",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN661420",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE LICENSE",
"identifier": "CS00230885",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "andrea.azarcon@pennmedicine.upenn.edu",
"affiliation": "N",
"address_1": "51 N 39th St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191042640",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.