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ANDREINA ZAMBRANO
NPI 1295145050
Obstetrics & Gynecology in Carmel, IN

Active since May 02, 2014PECOS EnrolledAccepts Medicare Assignment
13420 N MERIDIAN ST STE 420, CARMEL, IN 46032(317) 582-8500 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2022, Mar 17, 2021, Jun 13, 2018 (3 updates tracked since 2018).

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

NPI1295145050
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANDREINA ZAMBRANO
Location Address13420 N MERIDIAN ST STE 420Carmel, IN 46032-1581
Mailing Address13420 N Meridian St Ste 420Carmel, IN 46032-1581
Phone(317) 582-8500
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2014
Enumeration DateMay 2, 2014
Last NPPES UpdateMay 20, 20223 updates tracked since enumeration
NPPES CertifiedMay 20, 2022
✔ NPI 1295145050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IN · 01080345A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
13420 N MERIDIAN ST STE 420, Carmel, IN 46032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

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.

PECOS PAC ID2567717044
PECOS Enrollment IDI20180625002532
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
16 services16 patients
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.
15 services12 patients

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, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150157
Location13500 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Physician 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.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%288 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%176 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
52%267 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
77%267 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
89%267 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
60%267 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

STEPHANIE M CROWELL NP
Advanced Practice Midwife
13420 N MERIDIAN ST STE 420
CARMEL, IN 46032
Hamilton County (317) 582-8500
DEBRA CRAWLEY
Nurse Practitioner (Women's Health)
13420 N MERIDIAN ST STE 420
CARMEL, IN 46032
Hamilton County (317) 582-8500
DESIRAE C MICHALISKO NP, CNM
Advanced Practice Midwife
13420 N MERIDIAN ST STE 420
CARMEL, IN 46032
Hamilton County (317) 582-8500
HANNAH CATHERINE CHRISTOPHER
Obstetrics & Gynecology
13420 N MERIDIAN ST STE 420
CARMEL, IN 46032
Hamilton County (317) 582-8500

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.

What insurance does Andreina Zambrano accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian 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.