MS. ANDREA MARTIN WINDOM MSN PNP IBCLC
NPI 1700951126
Nurse Practitioner - Pediatrics in Vallejo, CA

Q: What is Andrea Windom's NPI number?

The NPI number for Andrea Windom is 1700951126. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Andrea Windom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Windom was last updated on January 3, 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.

Active since November 21, 2006PECOS Enrolled

975 SERENO DR, VALLEJO, CA 94589(707) 651-3346 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Andrea Martin Windom Msn Pnp Ibclc NPPES

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

MS. ANDREA MARTIN WINDOM MSN PNP IBCLC (NPI 1700951126) is an individual pediatrics provider in Vallejo, California, licensed in California (362012) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700951126

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. ANDREA MARTIN WINDOMCredential: MSN PNP IBCLC

Location Address975 SERENO DRVallejo, CA 94589-2441

Mailing Address975 Sereno DrVallejo, CA 94589-2441 · (707) 651-3346

Phone(707) 651-3346

Sole ProprietorNo

Enumeration DateNovember 21, 2006

Last NPPES UpdateJanuary 3, 2022

✔ NPI 1700951126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CA · 362012

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 362012 (CA)

975 SERENO DR, Vallejo, CA 94589

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Andrea Martin Windom Msn Pnp Ibclc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94589 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

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$113.05 typical visit price

range $21.86 – $157.69

Typical copayment $28.26 (range $5.46 – $39.42)

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 20

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

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