ANDRE MICHAEL CHEPETAN
NPI 1780286344
Nurse Anesthetist, Certified Registered in Albuquerque, NM

Active since November 09, 2020PECOS EnrolledAccepts Medicare Assignment
80.06/100
CMS Quality Rating
6709 ACADEMY RD NE STE A, ALBUQUERQUE, NM 87109(505) 308-3145(505) 308-3147 Get Directions Write a Review

NPPES record last updated: August 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2024, Aug 2, 2021, Mar 5, 2021 and 1 more (4 updates tracked since 2020).

About Andre Michael Chepetan NPPES

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

ANDRE MICHAEL CHEPETAN (NPI 1780286344) is an individual nurse anesthetist, certified registered in Albuquerque, New Mexico, licensed in New Mexico (64039) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1780286344
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameANDRE MICHAEL CHEPETAN
Location Address6709 ACADEMY RD NE STE AAlbuquerque, NM 87109-3363
Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (469) 291-3369 · Fax (214) 645-0078
Fax(505) 308-3147
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 9, 2020
Last NPPES UpdateAugust 25, 20244 updates tracked since enumeration
NPPES CertifiedAugust 25, 2024
✔ NPI 1780286344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in NM · 64039✔ Licensed in TX · 1029382
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.
6709 ACADEMY RD NE STE A, Albuquerque, NM 87109

Secondary Practice Location 1

Location 15323 Harry Hines BlvdDallas, TX 75390-7201 · Phone (214) 648-6400 · Fax (214) 648-5461

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andre Michael Chepetan 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 ID9931517943
PECOS Enrollment IDI20211208001382
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 Reassignments

11

Medicare enrollment records show Andre Chepetan reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
601 DR MARTIN LUTHER KING JR AVE NE
Albuquerque, NM 87102
  • Reassigned Medicare billing, New Mexico enrollment
  • 383 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
5755 S HOUGHTON RD
Tucson, AZ 85747
  • Reassigned Medicare billing, Arizona enrollment
  • 204 clinicians in this Medicare group
General Acute Care Hospital
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 728 clinicians in this Medicare group
Anesthesiology
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 509 clinicians in this Medicare group
Anesthesiology
8220 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 82 clinicians in this Medicare group
Anesthesiology
3100 OAK GROVE RD
Rombauer, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 217 clinicians in this Medicare group
Anesthesiology
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 419 clinicians in this Medicare group
Anesthesiology
710 CENTER ST
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 165 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
600 N PICKAWAY ST
Circleville, OH 43113
  • Reassigned Medicare billing, Ohio enrollment
  • 365 clinicians in this Medicare group
Anesthesiology
122 12TH ST
Princeton, WV 24740
  • Reassigned Medicare billing, West Virginia enrollment
  • 95 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

80.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.54
Improvement Activities40

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 Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Nurse Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Nurse Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Nurse Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Nurse Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Nurse Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Nurse Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109
Nurse Anesthetist, Certified Registered
6709 ACADEMY RD NE STE A
ALBUQUERQUE, NM 87109

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 Andre Chepetan's NPI number?

The NPI number for Andre Chepetan is 1780286344. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Where is Andre Chepetan located?

Andre Chepetan practices at 6709 Academy Rd NE Ste A, Albuquerque, NM 87109. The listed phone number is (505) 308-3145.

What is Andre Chepetan's specialty?

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

Is Andre Chepetan enrolled in Medicare?

Yes. Andre Chepetan 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.

Which organizations bill Medicare for Andre Chepetan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Chepetan reassigns Medicare benefits to 11 organizations: Main Street Anesthesia Of New Mexico, LLC (Albuquerque, NM), Hospitalist Medicine Physicians Of Arizona - Nogales (Tucson, AZ), Banner - University Hospital Based Physicians LLC (Phoenix, AZ), Sound Physicians Anesthesiology Of Texas PLLC (Fort Worth, TX), Hospitalist Medicine Physicians Of Texas - Dallas PLLC (Dallas, TX) and 6 more organizations, listed in the Medicare section above. Each 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 Andre Chepetan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andre Chepetan accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas and Oscar Health Plan, Inc. list Andre Chepetan 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 Andre Chepetan affiliated with any hospitals?

According to CMS data, Andre Chepetan is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Andre Chepetan was last updated on August 25, 2024. 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.