ANDREA ROSE VAN RY
NPI 1306313192
Nurse Practitioner - Acute Care in Laguna Hills, CA
About Andrea Rose Van Ry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA ROSE VAN RY (NPI 1306313192) is an individual acute care provider in Laguna Hills, California, licensed in California (95009896) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrea Rose Van Ry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Andrea Van Ry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mission Viejo, CA 92691
- Reassigned Medicare billing, California enrollment
- 1,699 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
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 Van Ry's NPI number?
The NPI number for Andrea Van Ry is 1306313192. It was assigned to this individual provider in the NPPES registry on October 30, 2018.
Where is Andrea Van Ry located?
Andrea Van Ry practices at 24451 Health Center Dr, Laguna Hills, CA 92653. The listed phone number is (949) 837-4500.
What is Andrea Van Ry's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Andrea Van Ry enrolled in Medicare?
Yes. Andrea Van Ry is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Andrea Van Ry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Van Ry reassigns Medicare benefits to Providence Medical Foundation (Mission Viejo, CA). The 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 Van Ry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrea Van Ry was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Andrea Rose Van Ry · NPI 1306313192
Acute Care physician in Laguna Hills, California. Individual provider, active in the CMS NPPES registry since October 30, 2018.
## Identity
- **NPI:** 1306313192 (Entity type: Individual)
- **Enumerated:** October 30, 2018
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95009896 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 24451 HEALTH CENTER DR, Laguna Hills, CA 92653-3689
- **Phone:** (949) 837-4500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Providence Medical Foundation (NPI 1427305960, Mission Viejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306313192) · Data from the CMS NPPES public registry.