ANDREINA ZAMBRANO
NPI 1295145050
Obstetrics & Gynecology in Carmel, IN
About Andreina Zambrano NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREINA ZAMBRANO (NPI 1295145050) is an individual obstetrics & gynecology provider in Carmel, Indiana, licensed in Indiana (01080345A) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Carmel, and is a graduate of New York Medical College (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Andreina Zambrano 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.
Medicare Billing Reassignments
2Medicare enrollment records show Andreina Zambrano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carmel, IN 46032
- Reassigned Medicare billing, Indiana enrollment
- 945 clinicians in this Medicare group
Evansville, IN 47714
- Reassigned Medicare billing, Indiana enrollment
- 9 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent Carmel
Acute Care Hospitals · Carmel, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Andreina Zambrano's NPI number?
The NPI number for Andreina Zambrano is 1295145050. It was assigned to this individual provider in the NPPES registry on May 2, 2014.
Where is Andreina Zambrano located?
Andreina Zambrano practices at 13420 N Meridian St Ste 420, Carmel, IN 46032. The listed phone number is (317) 582-8500.
What is Andreina Zambrano's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Andreina Zambrano enrolled in Medicare?
Yes. Andreina Zambrano 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 Andreina Zambrano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andreina Zambrano reassigns Medicare benefits to 2 organizations: St. Vincent Medical Group, Inc. (Carmel, IN) and Partners In Women's Reproductive Health, LLC (Evansville, IN). 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 Andreina Zambrano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andreina Zambrano accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Andreina Zambrano 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 Andreina Zambrano affiliated with any hospitals?
According to CMS data, Andreina Zambrano is affiliated with Ascension St Vincent Carmel.
When was this NPI record last updated?
The NPPES record for Andreina Zambrano was last updated on May 20, 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.
# Andreina Zambrano · NPI 1295145050
Obstetrics & Gynecology physician in Carmel, Indiana. Individual provider, active in the CMS NPPES registry since May 2, 2014.
## Identity
- **NPI:** 1295145050 (Entity type: Individual)
- **Enumerated:** May 2, 2014
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 01080345A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 13420 N MERIDIAN ST STE 420, Carmel, IN 46032-1581
- **Phone:** (317) 582-8500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Vincent Medical Group, Inc. (NPI 1316685191, Carmel, IN); Partners In Women's Reproductive Health, LLC (NPI 1295161057, Evansville, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Medical College, class of 2014
## Record status
- **NPPES last updated:** May 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1295145050) · Data from the CMS NPPES public registry.