ANDROMEDA RAINDANCE
NPI 1033557640
Nurse Practitioner - Family in Kingston, NY

Active since June 06, 2013PECOS EnrolledAccepts Medicare Assignment
360 WASHINGTON AVE, KINGSTON, NY 12401(845) 338-7140 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1033557640
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDROMEDA RAINDANCE
Location Address360 WASHINGTON AVEKingston, NY 12401-3702
Mailing Address105 Cottontail LaneWoodstock, NY 12498 · (845) 332-7884
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 6, 2013
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
NPI 1033557640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 355983
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 283728 (NY)
360 WASHINGTON AVE, Kingston, NY 12401

Secondary Practice Location 1

Location 1105 Cottontail LaneWoodstock, NY 12498 · Phone (845) 332-7884

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8022516533
PECOS Enrollment IDI20250813000547
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330224
Location105 Mary's AvenueKingston, NY 12401 · Ulster County
Emergency services Birthing friendly

Physician 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.

New Patient
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Infectious Disease)
360 WASHINGTON AVE
KINGSTON, NY 12401
Internal Medicine (Rheumatology)
360 WASHINGTON AVE
KINGSTON, NY 12401
Internal Medicine (Infectious Disease)
360 WASHINGTON AVE
KINGSTON, NY 12401
Internal Medicine (Infectious Disease)
360 WASHINGTON AVE
KINGSTON, NY 12401
Nurse Practitioner (Adult Health)
360 WASHINGTON AVE
KINGSTON, NY 12401
Nurse Practitioner (Family)
360 WASHINGTON AVE
KINGSTON, NY 12401
Internal Medicine
360 WASHINGTON AVE
KINGSTON, NY 12401
Internal Medicine
360 WASHINGTON AVE
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.

Is Andromeda Raindance affiliated with any hospitals?

According to CMS data, Andromeda Raindance is affiliated with Vassar Brothers Medical Center and Healthalliance Hospital Marys Avenue Campus.

When was this NPI record last updated?

The NPPES record for Andromeda Raindance was last updated on July 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.