MRS. ANDREA MARIE MCCULLOCH MSN, RN, AGACNP-BC
NPI 1316405905
Nurse Practitioner - Acute Care in Raleigh, NC

Active since March 04, 2019PECOS EnrolledAccepts Medicare Assignment
4420 LAKE BOONE TRL, RALEIGH, NC 27607(734) 740-6085 Get Directions Write a Review

NPPES record last updated: August 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2022, Oct 17, 2019, Oct 1, 2019 and 2 more (5 updates tracked since 2019).

About Mrs. Andrea Marie Mcculloch Msn, Rn, Agacnp-bc NPPES

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

MRS. ANDREA MARIE MCCULLOCH MSN, RN, AGACNP-BC (NPI 1316405905) is an individual acute care provider in Raleigh, North Carolina, licensed in North Carolina (5011544) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316405905
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. ANDREA MARIE MCCULLOCHCredential: MSN, RN, AGACNP-BC
Location Address4420 LAKE BOONE TRLRaleigh, NC 27607-7505
Mailing Address401 W Hargett St Apt 728Raleigh, NC 27603-4082 · (734) 740-6085
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 4, 2019
Last NPPES UpdateAugust 7, 20225 updates tracked since enumeration
NPPES CertifiedAugust 7, 2022
NPI 1316405905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NC · 5011544
Also ListedNurse PractitionerTaxonomy 363L00000X · License ALLE-FVSF53 (NC)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 5011544 (NC)
4420 LAKE BOONE TRL, Raleigh, NC 27607

Other Names 1

Former Name (1)Andrea Marie Allen

Accepted 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

Mrs. Andrea Marie Mcculloch Msn, Rn, Agacnp-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 ID2062755838
PECOS Enrollment IDI20190517001186
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.

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

Physician Assistant
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Nurse Practitioner (Family)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Registered Nurse (Critical Care Medicine)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Physician Assistant
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Internal Medicine (Hematology & Oncology)
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607

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 Mcculloch's NPI number?

The NPI number for Andrea Mcculloch is 1316405905. It was assigned to this individual provider in the NPPES registry on March 4, 2019. The provider is also known as Andrea Marie Allen.

Where is Andrea Mcculloch located?

Andrea Mcculloch practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (734) 740-6085.

What is Andrea Mcculloch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Andrea Mcculloch enrolled in Medicare?

Yes. Andrea Mcculloch 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 Andrea Mcculloch accept?

Health plans from Blue Cross and Blue Shield of NC list Andrea Mcculloch 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 Mcculloch affiliated with any hospitals?

According to CMS data, Andrea Mcculloch is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Mcculloch was last updated on August 7, 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.