Andrea McCoy Medearis, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3008755 Issued in KY

Practice address

3920 Dutchmans LN
Louisville, KY 40207-4702

Phone

(502) 259-6710

Fax

(502) 259-6704

NPI assigned

May 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Andrea L. McCoy Former name

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Universal Anesthesia Services LLCGroup PAC ID 9830268341, 58 clinicians

Commonwealth Anesthesia, PSCGroup PAC ID 5092627521, 181 clinicians

Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score

78.96 of 100Reported as group

Quality

56.12

Promoting interoperability

100

Improvement activities

40

Cost

73.73

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 30)

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.

• Commonwealth Anesthesia, PSC

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1437196300

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Professional Anesthesia Services of Kentucky PLLC

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1992212807

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Universal Anesthesia Services LLC

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1164696282

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Associates, PSC

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1902991169

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Commonwealth Pain Associates, PLLC

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1306280177

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Environ Anesthesia, LLC.

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1831438092

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• University of Louisville Physicians, Inc

  • Otolaryngology Physician
  • Louisville, KY
  • NPI 1326318973

  IN

  Medicare reassignment NPD
• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316
  Medicare reassignment NPD
• Commonwealth Pain Associates PLLC

  • Durable Medical Equipment & Medical Supplies
  • Paducah, KY
  • NPI 1114753720
  NPD
• University of Louisville Physicians, Inc.

  • Cardiovascular Disease Physician
  • Louisville, KY
  • NPI 1215201637
  NPD
• University of Louisville Physicians, Inc.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127
  NPD
• University of Louisville Physicians, Inc.

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1386990232
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Norton Hospitals Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1043348808
  Care Compare affiliation
• Norton Hospitals Inc

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1073568879

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1124314158

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Radiology Clinic/Center
  • Louisville, KY
  • NPI 1154329696

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Medical Specialty Clinic/Center
  • Louisville, KY
  • NPI 1174819106

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1447388335
  Care Compare affiliation
• Norton Hospitals Inc

  • Medical Specialty Clinic/Center
  • Louisville, KY
  • NPI 1659669414

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
  • NPI 1700105699

  Hospital

  Care Compare affiliation
• Norton Hospitals, Inc

  • Radiology Clinic/Center
  • Louisville, KY
  • NPI 1255335873

  Hospital

  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1699514463
  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1831195908
  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1891799227
  Care Compare affiliation

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1962814616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074702",
            "telephone_number": "502-259-6710",
            "fax_number": "502-259-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEARIS",
        "first_name": "ANDREA",
        "middle_name": "MCCOY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1123553",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3008755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300045950",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100304640",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MCCOY",
            "middle_name": "L.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roy Jeffrey Meckler, MD
• Med a Wound
• Med Center Chiropractic Rehab LLC
• Med-E-Care, Inc.
• Medaura LLC
• Medeast Physicians PLLC
• Arilennis Medel Leyva, APRN
• Medical Associates of Kentucky PSC
• Medical Center Cardiologists, PSC
• Medical Center Cardiologists, PSC

• Certified Registered Nurse Anesthetist in Louisville, KY
• Providers in Louisville, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.