Individual provider Active NPI

Andrea Ludwick, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Cruz, CA
National Provider Identifier
1962079624
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95019543 Issued in CA
Practice address
777 Chestnut St
Santa Cruz, CA 95060-3751
Phone
(831) 291-3540
Fax
(800) 893-0224
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95019543 CA Primary
Registered Nurse 163W00000X 812522 CA

Addresses

Primary practice location

777 Chestnut St
Santa Cruz, CA 95060-3751

Mailing address

777 Chestnut St
Santa Cruz, CA 95060-3751
Phone (831) 291-3540

Other names 1

  • Andrea Donnelly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220302002425 CA Practitioner - Nurse Practitioner 8022402312 Reassigns benefits to 1 organization
I20241028000870 CO Practitioner - Nurse Practitioner 8022402312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3006 Springmeadow Dr
Colorado Springs, CO 80906-3737
Phone (831) 291-3540

777 Chestnut St
Santa Cruz, CA 95060-3751
Phone (831) 291-3540

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as individual
Quality
37.08
Improvement activities
40
Cost
91.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Breeze Mental Health a Nursing Corporation Psychiatric/Mental Health CurrentSince Oct 22, 2022 Accepting new patients

Locations

2460 17th Ave
#1030
Santa Cruz, CA 95062

2460 17th Ave
Santa Cruz, CA 95062
Phone (650) 229-8156

2460 17th Ave
Ste 1030
Santa Cruz, CA 95062
Phone (831) 291-3540

777 Chestnut St
Santa Cruz, CA 95060
Phone (831) 291-3540

Organizations & group practices 1

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1962079624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CHESTNUT ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603751",
            "telephone_number": "831-291-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CHESTNUT ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603751",
            "telephone_number": "831-291-3540",
            "fax_number": "800-893-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWICK",
        "first_name": "ANDREA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019543",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "812522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "DONNELLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.