Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREW J ADDLEY CRNA
NPI 1356976724
Nurse Anesthetist, Certified Registered in Sonora, CA

Active since March 06, 2020
1000 GREENLEY RD, SONORA, CA 95370(209) 770-4501 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2026, Apr 2, 2025, Mar 6, 2020 (3 updates tracked since 2020).

About Andrew J Addley Crna NPPES

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

ANDREW J ADDLEY CRNA (NPI 1356976724) is an individual nurse anesthetist, certified registered in Sonora, California, licensed in Idaho (67503) and active in the NPI registry since March 2020. He is affiliated with Portneuf Medical Center and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356976724
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameANDREW J ADDLEYCredential: CRNA
Location Address1000 GREENLEY RDSonora, CA 95370-5200
Mailing Address1000 Greenley RdSonora, CA 95370-5200 · (435) 770-7757
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 6, 2020
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
NPI 1356976724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in ID · 67503
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN95213005 (CA)
1000 GREENLEY RD, Sonora, CA 95370

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

Andrew J Addley Crna 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 ID42633364
PECOS Enrollment IDI20210414001172

Areas of Expertise CMS Part B claims

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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

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
1000 GREENLEY RD
SONORA, CA 95370
Pharmacist
1000 GREENLEY RD
SONORA, CA 95370
Internal Medicine
1000 GREENLEY RD
SONORA, CA 95370
Registered Nurse
1000 GREENLEY RD
SONORA, CA 95370
Internal Medicine
1000 GREENLEY RD
SONORA, CA 95370
Registered Nurse
1000 GREENLEY RD
SONORA, CA 95370
General Acute Care Hospital
1000 GREENLEY RD
SONORA, CA 95370
Registered Nurse (Registered Nurse First Assistant)
1000 GREENLEY RD
SONORA, CA 95370

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 Andrew Addley's NPI number?

The NPI number for Andrew Addley is 1356976724. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Where is Andrew Addley located?

Andrew Addley practices at 1000 Greenley Rd, Sonora, CA 95370. The listed phone number is (209) 770-4501.

What is Andrew Addley's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Andrew Addley enrolled in Medicare?

Yes. Andrew Addley 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 Andrew Addley accept?

Health plans from Moda Health Plan, Inc. list Andrew Addley 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 Andrew Addley affiliated with any hospitals?

According to CMS data, Andrew Addley is affiliated with Portneuf Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Addley was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.