ANDREW J ADDLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1356976724

ANDREW J ADDLEY (CRNA) is a healthcare provider. based in Sonora, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN95213005 (CA). The NPI Number for ANDREW J ADDLEY (CRNA) is 1356976724

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW J ADDLEY (CRNA)
NPI
1356976724
Phone
(209) 770-4501
Address
1000 GREENLEY RD
Enumeration Date
6 March 2020
Last Update Date
2 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082347800
Graduation Year
2020 (6 years ago)
PAC ID
0042633364
Group Practice PAC ID
6204283856
Professional Enrollment ID
I20210414001172
Address ID
ID832013358PO333XXAVEX408
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

2,470 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for ANDREW J ADDLEY (CRNA)

  • 1000 GREENLEY RD

    SONORA, CA 953705200

    Phone: (209) 770-4501

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-03-01 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-14

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210414001172ICertified Registered Nurse Anesthetist (Crna)IDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope3030$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1717$0
00142Anesthesia for lens surgery1111$0
View full utilization report →

Insurance plans in this area (ZIP 95370)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204283856View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YIA
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)UT
A N E S T H E S I O L O G YND
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID

Reviews

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Frequently asked questions

How is ANDREW J ADDLEY (CRNA) identified in CMS data?
CMS-hosted NPPES data lists ANDREW J ADDLEY (CRNA) with NPI 1356976724.
Is ANDREW J ADDLEY (CRNA) listed as active for patients and plans?
The listing shows ANDREW J ADDLEY (CRNA) as active in the NPI system.
What is ANDREW J ADDLEY (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for ANDREW J ADDLEY (CRNA) here. Clinical services aligned with this taxonomy classification.
What area does ANDREW J ADDLEY (CRNA) serve?
ANDREW J ADDLEY (CRNA)'s listing highlights Sonora, California; more addresses can appear in NPPES.
Is the information about ANDREW J ADDLEY (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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