Individual provider Active NPI

Andrea Williams

  • Certified Registered Nurse Anesthetist
  • Terre Haute, IN
National Provider Identifier
1982280053
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28216801A Issued in IN
Practice address
1606 N 7TH St
Terre Haute, IN 47804-2780
Phone
(317) 679-9844
NPI assigned
Mar 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28216801A IN
Certified Registered Nurse Anesthetist 367500000X 28216801A IN Primary

Addresses

Primary practice location

1606 N 7TH St
Terre Haute, IN 47804-2780

Mailing address

7718 Geist Estates Dr
Indianapolis, IN 46236-8657
Phone (317) 679-9844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210618000838 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830599406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Indiana University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians

Practice addresses (Care Compare)

801 S Main St
Clinton, IN 47842-2261
Phone (765) 832-1234

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Union Hospital Clinton Hospital, Clinton, IN, CCN 151326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2021 Accepting new patients

Locations

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

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.

Hospital & facility affiliations 4

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": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1982280053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7718 GEIST ESTATES DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368657",
            "telephone_number": "317-679-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042780",
            "telephone_number": "317-679-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28216801A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28216801A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.