ANDROMEDA RAINDANCE
NPI 1033557640
Nurse Practitioner - Family in Kingston, NY
About Andromeda Raindance NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDROMEDA RAINDANCE (NPI 1033557640) is an individual family provider in Kingston, New York, licensed in New York (355983) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and maintains a secondary practice location in Woodstock.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andromeda Raindance is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Andromeda Raindance reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kingston, NY 12401
- Reassigned Medicare billing, New York enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vassar Brothers Medical Center
Acute Care Hospitals · Poughkeepsie, NYNorthern Dutchess Hospital
Acute Care Hospitals · Rhinebeck, NYHealthalliance Hospital Marys Avenue Campus
Acute Care Hospitals · Kingston, NYMargaretville Memorial Hospital
Critical Access Hospitals · Margaretville, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KINGSTON, NY 12401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andromeda Raindance's NPI number?
The NPI number for Andromeda Raindance is 1033557640. It was assigned to this individual provider in the NPPES registry on June 6, 2013.
Where is Andromeda Raindance located?
Andromeda Raindance practices at 360 Washington Ave, Kingston, NY 12401. The listed phone number is (845) 338-7140.
What is Andromeda Raindance's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Andromeda Raindance enrolled in Medicare?
Yes. Andromeda Raindance is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Andromeda Raindance's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andromeda Raindance reassigns Medicare benefits to Medical Associates Of The Hudson Valley (Kingston, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andromeda Raindance's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Andromeda Raindance affiliated with any hospitals?
According to CMS data, Andromeda Raindance is affiliated with Vassar Brothers Medical Center, Northern Dutchess Hospital, Healthalliance Hospital Marys Avenue Campus and Margaretville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Andromeda Raindance was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Andromeda Raindance · NPI 1033557640
Family physician in Kingston, New York. Individual provider, active in the CMS NPPES registry since June 6, 2013.
## Identity
- **NPI:** 1033557640 (Entity type: Individual)
- **Enumerated:** June 6, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 355983 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 360 WASHINGTON AVE, Kingston, NY 12401-3702
- **Phone:** (845) 338-7140
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medical Associates Of The Hudson Valley (NPI 1700966801, Kingston, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033557640) · Data from the CMS NPPES public registry.