ANDREW ROBERT HULTGREN MS RN PMHNP-BC
NPI 1205323607
Nurse Practitioner - Psychiatric/Mental Health in Santa Cruz, CA

Q: What is Andrew Hultgren's NPI number?

The NPI number for Andrew Hultgren is 1205323607. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Q: What is Andrew Hultgren's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Hultgren was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 20, 2018PECOS EnrolledAccepts Medicare Assignment

72.51/100

CMS Quality Rating

2025 SOQUEL AVE, SANTA CRUZ, CA 95062(831) 458-4888 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2020, Oct 2, 2019, Sep 24, 2019 and 2 more (5 updates tracked since 2018).

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About Andrew Robert Hultgren Ms Rn Pmhnp-bc NPPES

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

ANDREW ROBERT HULTGREN MS RN PMHNP-BC (NPI 1205323607) is an individual psychiatric/mental health provider in Santa Cruz, California, licensed in California (95012928) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Adventist Health Castle, and is a graduate of University Of California, San Francisco School Of Medicine (2019).

NPPES Registry Identity

NPI1205323607

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameANDREW ROBERT HULTGRENCredential: MS RN PMHNP-BC

Location Address2025 SOQUEL AVESanta Cruz, CA 95062-1323

Mailing Address325 Distel CirLos Altos, CA 94022-1408

Phone(831) 458-4888

Sole ProprietorNo

Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2019

Enumeration DateApril 20, 2018

Last NPPES UpdateOctober 12, 20205 updates tracked since enumeration

NPPES CertifiedOctober 12, 2020

✔ NPI 1205323607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95012928

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 95140460 (CA)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 95012928 (CA)

2025 SOQUEL AVE, Santa Cruz, CA 95062

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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

Andrew Robert Hultgren Ms Rn Pmhnp-bc 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 ID5395165500

PECOS Enrollment IDI20220822002929

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 3

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

76 services23 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

55 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

42 services15 patients

Hospital Affiliations CMS Care Compare

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

Adventist Health Castle

Acute Care Hospitals · Kailua, HI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number120006

Location640 Ulukahiki StKailua, HI 96734 · Honolulu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95062 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

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$109.72 typical visit price

range $21.02 – $153.16

Typical copayment $27.43 (range $5.25 – $38.29)

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.

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.

72.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

65.64

Promoting Interoperability

Improvement Activities

Cost

51.91

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.

GAYE KIHORANY P.T.

Physical Therapist