Jeffrey A. Andre, CRNA
NPI 1619188604ActiveIndividual· Nurse Anesthetist, Certified Registered· Gulfport, MS
Nurse Anesthetist, Certified Registered (CRNA) with Main Street Anesthesia of New Mexico, LLC, practicing in Gulfport, Mississippi. Medicare paid $25,147 for services to 160 patients in 2024. Lists Lincoln County Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1619188604 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | May 24, 2007 |
| Last updated in NPPES | Jan 30, 2023 |
| Certified by provider | Jan 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 901434 | MS |
| Nurse Anesthetist, Certified Registered | 367500000X | 093642 | LA |
| Nurse Anesthetist, Certified Registered | 367500000X | 779617 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MS); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 160 |
|---|---|
| Services billed | 172 across 42 procedure codes |
| Paid by Medicare | $25,147 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Main Street Anesthesia of New Mexico, LLCRio Rancho, NM · 236 clinicians
Hospital affiliations
- Lincoln County Medical CenterRuidoso, NM
- Memorial Medical CenterLas Cruces, NM
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Anesthetist, Certified Registered providers in Gulfport
- 1215859673
- 1548696925
- 1396908976
- 1467764779
- 1215217013
- 1811159460
- 1437864303
- 1043288541
- 1417677766
- 1093968042
- 1699385237
- 1447585435
All Nurse Anesthetist, Certified Registered providers in Mississippi →