ANDREA M BAYLISS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1730155250

ANDREA M BAYLISS (CRNA) is a healthcare provider. based in Kettering, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APN.0991232-CRNA (CO). The NPI Number for ANDREA M BAYLISS (CRNA) is 1730155250

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA M BAYLISS (CRNA)
NPI
1730155250
Phone
(937) 293-8228
Address
3535 SOUTHERN BVLD
Enumeration Date
24 February 2006
Last Update Date
11 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7202313233
Graduation Year
2004 (22 years ago)
PAC ID
9931192457
Group Practice PAC ID
7416272927
Professional Enrollment ID
I20150113000923
Address ID
CO802372702DE5060XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for ANDREA M BAYLISS (CRNA)

  • 3535 SOUTHERN BVLD

    KETTERING, OH 45429

    Phone: (937) 293-8228

    Fax: (937) 293-8229

    Type: Location

  • 3533, Southern Boulevard, South Dale, Kettering, Montgomery County, Ohio, 45429, United States

    SUITE 3100

    KETTERING, OH 454291264

    Phone: (937) 293-8228

    Fax: (937) 293-8229

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-01-13

PECOS data refreshed: 2026-05-27

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
I20150113000923ICertified Registered Nurse Anesthetist (Crna)COTBD

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
00142Anesthesia for lens surgery292243$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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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: 7416272927View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
-MO
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)CO
-CA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX
-MO
Certified Registered Nurse Anesthetist (Crna)CO

Reviews

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Frequently asked questions

Can I verify ANDREA M BAYLISS (CRNA) with an NPI only?
You can start verification with NPI 1730155250 for ANDREA M BAYLISS (CRNA), then check state licensing separately.
Can I rely on ANDREA M BAYLISS (CRNA) being an active provider?
As of the registry snapshot, ANDREA M BAYLISS (CRNA) is marked active.
What taxonomy line describes ANDREA M BAYLISS (CRNA)?
For research purposes, treat ANDREA M BAYLISS (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ANDREA M BAYLISS (CRNA) on a map?
Expect Kettering, Ohio as a primary anchor for ANDREA M BAYLISS (CRNA) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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