ANDREA LYNN CHILDRESS (NP) – Nurse Practitioner, NPI 1710211768

ANDREA LYNN CHILDRESS (NP) is a healthcare provider. based in Springfield, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP60097977 (WA). The NPI Number for ANDREA LYNN CHILDRESS (NP) is 1710211768

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA LYNN CHILDRESS (NP)
NPI
1710211768
Phone
(541) 222-6389
Address
3377 RIVERBEND DRIVE
Enumeration Date
23 September 2009
Last Update Date
24 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5412226113
Graduation Year
2009 (17 years ago)
PAC ID
0547308165
Group Practice PAC ID
8527016039
Professional Enrollment ID
I20150820011704
Address ID
OR974778800SP3355XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:16State licenses:2Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

Provider Addresses for ANDREA LYNN CHILDRESS (NP)

  • 3377 RIVERBEND DRIVE

    PEACEHEALTH HOSPITAL MEDICINE

    SPRINGFIELD, OR 974778803

    Phone: (541) 222-6389

    Fax: (541) 222-6385

    Type: Mailing

  • M Health West Bank Emergency Department, 2312, South 6th Street, Minneapolis, Hennepin County, Minnesota, 55454, United States

    MINNEAPOLIS, MN 554541336

    Phone: (612) 273-4551

    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: 2015-08-20

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
I20150820011704INurse PractitionerORTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14485$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2820$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1711$0
99239Hospital discharge day management, more than 30 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 97477)

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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: 8527016039View full group profile
NameSpecialtyState
Clinical PsychologistMT
Internal MedicineOR
Internal MedicineOR
Hospitalist, Family Practice, Family PracticeCO
Psychiatry, NeurologyNH
Internal MedicineFL
-NY
Interventional Cardiology, Cardiovascular Disease (Cardiology)OR
Interventional Cardiology, Cardiovascular Disease (Cardiology)CA
Internal MedicineOR

Reviews

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Frequently asked questions

What number should I use to identify ANDREA LYNN CHILDRESS (NP) for billing?
Administrative and clinical systems typically use NPI 1710211768 for ANDREA LYNN CHILDRESS (NP).
Does the public listing show ANDREA LYNN CHILDRESS (NP) as active?
ANDREA LYNN CHILDRESS (NP)'s NPI record reflects an active status in NPPES.
What does the directory say ANDREA LYNN CHILDRESS (NP) does?
Insurance directories may phrase it differently, but here ANDREA LYNN CHILDRESS (NP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ANDREA LYNN CHILDRESS (NP) tied to Springfield, Oregon?
If you are local to Springfield, Oregon, ANDREA LYNN CHILDRESS (NP) may be relevant to your search.
Why is information missing for ANDREA LYNN CHILDRESS (NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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