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ANDREA MCELDOWNEY CNP
NPI 1265986194
Nurse Practitioner - Family in Columbus, OH

Active since August 09, 2016PECOS EnrolledAccepts Medicare Assignment
5131 BEACON HILL RD STE 220A, COLUMBUS, OH 43228(614) 544-2576(614) 544-2574 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2025, Nov 4, 2024, Jan 25, 2022 and 2 more (5 updates tracked since 2016).

About Andrea Mceldowney Cnp NPPES

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

ANDREA MCELDOWNEY CNP (NPI 1265986194) is an individual family provider in Columbus, Ohio, licensed in Ohio (CNP.019499) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265986194
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA MCELDOWNEYCredential: CNP
Location Address5131 BEACON HILL RD STE 220AColumbus, OH 43228-4442
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(614) 544-2576
Fax(614) 544-2574
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 9, 2016
Last NPPES UpdateFebruary 4, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1265986194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · CNP.019499
5131 BEACON HILL RD STE 220A, Columbus, OH 43228
Open in Google Maps ↗

Other Names 1

Former Name (1)Andrea Carol Farmer Cnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

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

Andrea Mceldowney Cnp 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 ID9234418740
PECOS Enrollment IDI20161123001903
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

5

Medicare enrollment records show Andrea Mceldowney reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthy Alliance
6.7 mi
Nurse Practitioner
3924 MOUNTVIEW RD
Upper Arlington, OH 43220
  • Reassigned Medicare billing, Ohio enrollment
  • 20 clinicians in this Medicare group
NPI 1962715839 (614) 776-4379
Ohiohealth Corporation
7.7 mi
Family Medicine
3535 OLENTANGY RIVER RD
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1578545273 (614) 533-5500
Ayd - Value Based Services LLC
7.7 mi
Family
2245 N BANK DR
Columbus, OH 43220
  • Reassigned Medicare billing, Ohio enrollment
  • 43 clinicians in this Medicare group
NPI 1669363362 (614) 284-4114
At Your Door Visiting Healthcare Services, LLC
14 mi
Family
314 AGLER RD
Columbus, OH 43230
  • Reassigned Medicare billing, Ohio enrollment
  • 101 clinicians in this Medicare group
NPI 1750760849 (614) 284-4114
Provider Partners Care Management LP
341 mi
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Ohio enrollment
  • 80 clinicians in this Medicare group
NPI 1013348028 (443) 275-9800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
631 services189 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
186 services76 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
47 services47 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
43 services36 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
33 services26 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
31 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43228 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

SIMON FRASER D.O.
Surgery (Vascular Surgery)
5131 BEACON HILL RD STE 220A
COLUMBUS, OH 43228
Franklin County (614) 566-3500
DR. CHARLES EVAN PUGAR D.O.
Surgery (Vascular Surgery)
5131 BEACON HILL RD STE 220A
COLUMBUS, OH 43228
Franklin County (614) 544-2576

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 Andrea Mceldowney's NPI number?

The NPI number for Andrea Mceldowney is 1265986194. It was assigned to this individual provider in the NPPES registry on August 9, 2016. The provider is also known as Andrea Carol Farmer Cnp.

Where is Andrea Mceldowney located?

Andrea Mceldowney practices at 5131 Beacon Hill Rd Ste 220A, Columbus, OH 43228. The listed phone number is (614) 544-2576.

What is Andrea Mceldowney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Mceldowney enrolled in Medicare?

Yes. Andrea Mceldowney 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 Andrea Mceldowney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Mceldowney reassigns Medicare benefits to 5 organizations: Healthy Alliance (Upper Arlington, OH), Ohiohealth Corporation (Columbus, OH), Ayd - Value Based Services LLC (Columbus, OH), At Your Door Visiting Healthcare Services, LLC (Columbus, OH) and Provider Partners Care Management LP (Columbia, MD). 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 Andrea Mceldowney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Mceldowney accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Oscar Health Insurance list Andrea Mceldowney 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.

Is Andrea Mceldowney affiliated with any hospitals?

According to CMS data, Andrea Mceldowney is affiliated with Riverside Methodist Hospital, Grant Medical Center, Doctors Hospital, Grady Memorial Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Mceldowney was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.