MRS. ANDREA MARIE MCCULLOCH MSN, RN, AGACNP-BC
NPI 1316405905
Nurse Practitioner - Acute Care in Raleigh, NC
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
Specialties & Licenses 3
Other Names 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Andrea Mcculloch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Raleigh, NC 27607
- Reassigned Medicare billing, North Carolina enrollment
- 701 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.
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, NCPhysician 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.
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.
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.
Which organization bills Medicare for Andrea Mcculloch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Mcculloch reassigns Medicare benefits to North Carolina Mg, LLC (Raleigh, NC). 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 Mcculloch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrea Mcculloch accept?
Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare 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.
# Mrs. Andrea Marie Mcculloch, MSN, RN, AGACNP-BC · NPI 1316405905
Acute Care physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since March 4, 2019.
## Identity
- **NPI:** 1316405905 (Entity type: Individual)
- **Enumerated:** March 4, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 5011544 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4420 LAKE BOONE TRL, Raleigh, NC 27607-7505
- **Phone:** (734) 740-6085
## 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:** North Carolina Mg, LLC (NPI 1215741640, Raleigh, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1316405905) · Data from the CMS NPPES public registry.