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ANDROMEDA FAIR CRNP
NPI 1326401761
Nurse Practitioner - Family in Erie, PA

Active since April 02, 2016PECOS Enrolled
3330 PEACH ST STE 106, ERIE, PA 16508(814) 877-8586 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2025, Apr 2, 2016 (2 updates tracked since 2016).

About Andromeda Fair Crnp NPPES

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

ANDROMEDA FAIR CRNP (NPI 1326401761) is an individual family provider in Erie, Pennsylvania, licensed in Pennsylvania (SP027602) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326401761
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDROMEDA FAIRCredential: CRNP
Location Address3330 PEACH ST STE 106Erie, PA 16508-2771
Mailing Address3330 Peach St Ste 106Erie, PA 16508-2771 · (814) 877-8586
Phone(814) 877-8586
Sole ProprietorNo
Enumeration DateApril 2, 2016
Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1326401761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP027602
Also ListedRegistered NurseTaxonomy 163W00000X · License RN642005 (PA), RN.382551 (OH)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License SP016598 (PA)
3330 PEACH ST STE 106, Erie, PA 16508
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andromeda Fair Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Andromeda Fair reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adagio Health Inc.
1.5 mi
Clinic/Center
240 W 11TH ST, SUITE 102
Erie, PA 16501
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 49 clinicians in this Medicare group
NPI 1245324532 (814) 453-4718

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 16508 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 3

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

MRS. VICTORIA CAMILLERI CRNP
Nurse Practitioner (Family)
3330 PEACH ST STE 106
ERIE, PA 16508
Erie County (814) 877-5570
CHELSEA BUSH CRNP
Nurse Practitioner (Family)
3330 PEACH ST STE 106
ERIE, PA 16508
Erie County (814) 877-8586
MACKENZIE LOIS MUSTIN CRNP
Nurse Practitioner (Family)
3330 PEACH ST STE 106
ERIE, PA 16508
Erie County (814) 877-8586

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 Andromeda Fair's NPI number?

The NPI number for Andromeda Fair is 1326401761. It was assigned to this individual provider in the NPPES registry on April 2, 2016.

Where is Andromeda Fair located?

Andromeda Fair practices at 3330 Peach St Ste 106, Erie, PA 16508. The listed phone number is (814) 877-8586.

What is Andromeda Fair's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andromeda Fair enrolled in Medicare?

Yes. Andromeda Fair is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andromeda Fair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andromeda Fair reassigns Medicare benefits to Adagio Health Inc. (Erie, PA). 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 Andromeda Fair'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 Andromeda Fair was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.