Individual provider Active NPI

Andrea Franchesca Reiss, CRNA

  • Certified Registered Nurse Anesthetist
  • Albuquerque, NM
National Provider Identifier
1881235562
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
65244 Issued in NM
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

Updated by the provider on Jul 30, 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 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

IdentifierTypeStateIssuer
CS00230885OtherNMCONTROLLED SUBSTANCE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrea.azarcon@pennmedicine.upenn.edu

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211209000137 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981037298 Reassigns benefits to 2 organizations

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
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians
Anesthesia Associates of New Mexico P CGroup PAC ID 4385536564, 32 clinicians

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

LicenseStateTypeSpecialty
RN661420PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Dec 3, 2021 Accepting new patients
Anesthesia Associates of New Mexico P C CurrentSince Jun 15, 2023 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.

Hospital & facility affiliations 1

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": "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.

Verify at the official NPI Registry.