Active NPI
Andrena Barnes, RN
- Nurse Practitioner
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 308004
- Practice address
- 17030 130TH Ave Apt 5C
Jamaica, NY 11434 - Phone
- (347) 232-1800
- NPI assigned
- Apr 8, 2011
- Reactivated
- Jul 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 640068 | NY | |
| Nurse Practitioner | 363L00000X | 308004 | NY | Primary |
Addresses
Primary practice location
17030 130TH Ave Apt 5C
Jamaica, NY 11434
Mailing address
26 Railroad Ave # 172
Babylon, NY 11702-2204
Phone (917) 283-8316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 331-3131
95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 640068 | NY | MD | Registered Nurse |
Practice roles
Locations
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700
2433 Knapp St
Ste 306
Brooklyn, NY 11235
300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955
250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
227 Madison St
New York, NY 10002
Phone (212) 238-7000
50 Water St
Fl 3
New York, NY 10004
209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625
135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Interoperability endpoints
- abarnes691370@nychhc.direct-ci.com
Organizations & group practices 14
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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1457643785
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1104112838
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- General Practice Physician
- Jamaica, NY
- NPI 1932803111
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1770844797
-
- Clinic/Center
- Bronx, NY
- NPI 1003824608
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1972893261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 RAILROAD AVE # 172",
"city": "BABYLON",
"state": "NY",
"postal_code": "117022204",
"telephone_number": "917-283-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17030 130TH AVE APT 5C",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11434",
"telephone_number": "347-232-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "ANDRENA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"deactivation_date": "2012-03-12",
"reactivation_date": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "640068",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "308004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.