1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

ANDREW P CHISHOLM CRNA
NPI 1063650976
Nurse Anesthetist, Certified Registered in Providence, RI

Active since January 30, 2009PECOS EnrolledAccepts Medicare Assignment
593 EDDY STREET, DAVOL 129, PROVIDENCE, RI 02903(401) 444-4933(401) 444-5090 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrew P Chisholm Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW P CHISHOLM CRNA (NPI 1063650976) is an individual nurse anesthetist, certified registered in Providence, Rhode Island, licensed in Rhode Island (APRN00282) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1063650976
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameANDREW P CHISHOLMCredential: CRNA
Location Address593 EDDY STREET, DAVOL 129Providence, RI 02903-4923
Mailing AddressOne Virginia Avenue, Suite 201Providence, RI 02905 · (401) 490-0916 · Fax (401) 490-0979
Phone(401) 444-4933
Fax(401) 444-5090
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 30, 2009
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1063650976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in RI · APRN00282✔ Licensed in RI · RNA00047-G✔ Licensed in RI · RNA36690✔ Licensed in MA · RN258866
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
593 EDDY STREET, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Locations 3

Location 188 Washington StTaunton, MA 02780-2499 · Phone (508) 828-7000
Location 2795 Middle StFall River, MA 02721-1733 · Phone (508) 235-5367
Location 3101 Dudley StProvidence, RI 02905-2401 · Phone (401) 453-7950 · Fax (401) 453-7658

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

Andrew P Chisholm Crna 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 ID6608933387
PECOS Enrollment IDI20090325000010
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Andrew Chisholm reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group, Inc.
Same address
Anesthesiology
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 112 clinicians in this Medicare group
NPI 1053782466 (401) 444-5172
Affinity Physicians LLC
0.2 mi
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122
Lifespan Physician Group Of Massachusetts Inc
18 mi
Family Medicine
2007 BAY ST
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 547 clinicians in this Medicare group
NPI 1235957713 (774) 409-2009

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 3

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN F GIRARD CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
PETER W WOLFERSEDER CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
MARIE A MILLS CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
BETH VANPRAAG CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
JONATHAN D URI MD
Anesthesiology
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
CHRISTINE MARIE RAMALHO DMD
Dentist (General Practice)
593 EDDY STREET, JOSEPH SAMUELS DENTAL CENTER AT RIH
PROVIDENCE, RI 02903
Providence County (401) 444-7195
ANGELA THOMAS CRNA
Nurse Anesthetist, Certified Registered
593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903
Providence County (401) 444-4933
NICOLE BRETING APRN
Nurse Practitioner
593 EDDY STREET, APC 4
PROVIDENCE, RI 02903
Providence County (401) 553-8355

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 Andrew Chisholm's NPI number?

The NPI number for Andrew Chisholm is 1063650976. It was assigned to this individual provider in the NPPES registry on January 30, 2009.

Where is Andrew Chisholm located?

Andrew Chisholm practices at 593 Eddy Street Davol 129, Providence, RI 02903. The listed phone number is (401) 444-4933.

What is Andrew Chisholm's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Andrew Chisholm enrolled in Medicare?

Yes. Andrew Chisholm 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 organizations bill Medicare for Andrew Chisholm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Chisholm reassigns Medicare benefits to 3 organizations: Lifespan Physician Group, Inc. (Providence, RI), Affinity Physicians LLC (Providence, RI) and Lifespan Physician Group Of Massachusetts Inc (Taunton, MA). Each 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 Andrew Chisholm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrew Chisholm affiliated with any hospitals?

According to CMS data, Andrew Chisholm is affiliated with Rhode Island Hospital, Women & Infants Hospital Of Rhode Island and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Chisholm was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.