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ANDREA EARLYWINE APN
NPI 1679778617
Nurse Practitioner - Psychiatric/Mental Health in Columbia, MO

Active since June 19, 2007Opted out of Medicare · through Jul 1, 2027
2100 FORUM BLVD STE C-2, COLUMBIA, MO 65203(573) 447-7456(573) 447-7457 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea Earlywine Apn NPPES

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

ANDREA EARLYWINE APN (NPI 1679778617) is an individual psychiatric/mental health provider in Columbia, Missouri, licensed in Missouri (2001024627) and active in the NPI registry since June 2007. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679778617
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANDREA EARLYWINECredential: APN
Location Address2100 FORUM BLVD STE C-2Columbia, MO 65203-5436
Mailing Address1324 Weaver DrColumbia, MO 65203-0888 · (573) 228-0466 · Fax (573) 447-7457
Phone(573) 447-7456
Fax(573) 447-7457
Sole ProprietorNo
Enumeration DateJune 19, 2007
Last NPPES UpdateAugust 4, 2021
NPPES CertifiedAugust 4, 2021
✔ NPI 1679778617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2001024627
2100 FORUM BLVD STE C-2, Columbia, MO 65203
Open in Google Maps ↗

Other Identifiers 1

Medicaid1679778617MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Andrea Earlywine Apn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2021 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2021
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65203 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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

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

BRAVE, LLC
Counselor (Professional)
2100 FORUM BLVD STE C-2
COLUMBIA, MO 65203
Boone County (573) 862-6992

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 Earlywine's NPI number?

The NPI number for Andrea Earlywine is 1679778617. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Andrea Earlywine located?

Andrea Earlywine practices at 2100 Forum Blvd Ste C-2, Columbia, MO 65203. The listed phone number is (573) 447-7456.

What is Andrea Earlywine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Andrea Earlywine enrolled in Medicare?

No. Andrea Earlywine has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Andrea Earlywine accept?

Health plans from Cox HealthPlans list Andrea Earlywine 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 Earlywine was last updated on August 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.