AUDREY ANDZELIK PA-C
NPI 1194104000
Physician Assistant - Surgical in Tuba City, AZ

Active since May 26, 2015PECOS EnrolledAccepts Medicare Assignment
70.58/100
CMS Quality Rating
167 NORTH MAIN STREET, TUBA CITY, AZ 86045(928) 283-2501 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Audrey Andzelik Pa-c NPPES

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

AUDREY ANDZELIK PA-C (NPI 1194104000) is an individual surgical provider in Tuba City, Arizona, licensed in Arizona (6075) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1194104000
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameAUDREY ANDZELIKCredential: PA-C
Location Address167 NORTH MAIN STREETTuba City, AZ 86045
Mailing Address5420 E Boulder Run DrFlagstaff, AZ 86004-7460 · (716) 338-6770
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 26, 2015
Last NPPES UpdateJanuary 11, 2022
NPPES CertifiedJanuary 8, 2022
NPI 1194104000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in AZ · 6075
Also ListedPhysician AssistantTaxonomy 363A00000X · License 018659 (NY)
167 NORTH MAIN STREET, Tuba City, AZ 86045

Accepted Insurance

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

Audrey Andzelik Pa-c 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 ID1355641192
PECOS Enrollment IDI20151130000630
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services69 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services29 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.68
Promoting Interoperability79
Improvement Activities40
Cost63.1

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.

Registered Nurse (Ambulatory Care)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Nurse's Aide
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Specialist/Technologist Cardiovascular (Sonography)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045

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 Audrey Andzelik's NPI number?

The NPI number for Audrey Andzelik is 1194104000. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Audrey Andzelik located?

Audrey Andzelik practices at 167 North Main Street, Tuba City, AZ 86045. The listed phone number is (928) 283-2501.

What is Audrey Andzelik's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Audrey Andzelik enrolled in Medicare?

Yes. Audrey Andzelik 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.

What insurance does Audrey Andzelik accept?

Health plans from Blue Cross Blue Shield of Arizona list Audrey Andzelik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Audrey Andzelik was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.