ANDREA SEATON NP
NPI 1396119574
Nurse Practitioner - Family in Tucson, AZ

Active since November 25, 2015PECOS EnrolledAccepts Medicare Assignment
87.64/100
CMS Quality Rating
1400 N WILMOT RD, TUCSON, AZ 85712(520) 324-4220(520) 324-4221 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2021, Nov 19, 2020, Nov 25, 2015 (3 updates tracked since 2015).

About Andrea Seaton Np NPPES

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

ANDREA SEATON NP (NPI 1396119574) is an individual family provider in Tucson, Arizona, licensed in Arizona (AP8279) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1396119574
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA SEATONCredential: NP
Location Address1400 N WILMOT RDTucson, AZ 85712-4498
Mailing AddressPo Box 31235Tucson, AZ 85751-1235 · (520) 324-2308 · Fax (520) 324-1406
Fax(520) 324-4221
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 25, 2015
Last NPPES UpdateDecember 1, 20233 updates tracked since enumeration
NPPES CertifiedDecember 1, 2023
NPI 1396119574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · AP8279
1400 N WILMOT RD, Tucson, AZ 85712

Other Names 1

Former Name (1)Andrea Gust

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

Andrea Seaton Np 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 ID8426359571
PECOS Enrollment IDI20151215002486
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
121 services117 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services31 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
30 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
27 services27 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.51
Improvement Activities40
Cost64.8

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.

Nurse Practitioner (Family)
1400 N WILMOT RD
TUCSON, AZ 85712
Family Medicine
1400 N WILMOT RD, SUITE 110
TUCSON, AZ 85712
Nurse Practitioner (Family)
1400 N WILMOT RD
TUCSON, AZ 85712
Physician Assistant
1400 N WILMOT RD, STE # 110
TUCSON, AZ 85712
Psychiatry & Neurology (Psychiatry)
1400 N WILMOT RD
TUCSON, AZ 85712
Psychiatric Unit
1400 N WILMOT RD
TUCSON, AZ 85712
Skilled Nursing Facility
1400 N WILMOT RD, 3RD FLOOR
TUCSON, AZ 85712
Social Worker (Clinical)
1400 N WILMOT RD
TUCSON, AZ 85712

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 Seaton's NPI number?

The NPI number for Andrea Seaton is 1396119574. It was assigned to this individual provider in the NPPES registry on November 25, 2015. The provider is also known as Andrea Gust.

Where is Andrea Seaton located?

Andrea Seaton practices at 1400 N Wilmot Rd, Tucson, AZ 85712. The listed phone number is (520) 324-4220.

What is Andrea Seaton's specialty?

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

Is Andrea Seaton enrolled in Medicare?

Yes. Andrea Seaton 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 Seaton accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Andrea Seaton 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.

When was this NPI record last updated?

The NPPES record for Andrea Seaton was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.