1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Nurse Practitioner
  6. NPI Profile

ANDREA ARCHIBALD NP
NPI 1881359875
Nurse Practitioner - Family in Bronx, NY

Active since November 03, 2021PECOS Enrolled
100 DONIZETTI PL APT 9G, BRONX, NY 10475(347) 206-5969 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2022, Nov 3, 2021 (2 updates tracked since 2021).

About Andrea Archibald Np NPPES

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

ANDREA ARCHIBALD NP (NPI 1881359875) is an individual family provider in Bronx, New York, licensed in New York (F347430-01) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1881359875
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA ARCHIBALDCredential: NP
Location Address100 DONIZETTI PL APT 9GBronx, NY 10475-2043
Mailing Address100 Donizetti Pl Apt 9gBronx, NY 10475-2043 · (347) 206-5969
Phone(347) 206-5969
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 3, 2021
Last NPPES UpdateFebruary 9, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2022
✔ NPI 1881359875 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 NY · F347430-01
100 DONIZETTI PL APT 9G, Bronx, NY 10475
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Archibald Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163805276
PECOS Enrollment IDI20220822002125
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.

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10475 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Archibald's NPI number?

The NPI number for Andrea Archibald is 1881359875. It was assigned to this individual provider in the NPPES registry on November 3, 2021.

Where is Andrea Archibald located?

Andrea Archibald practices at 100 Donizetti Pl Apt 9G, Bronx, NY 10475. The listed phone number is (347) 206-5969.

What is Andrea Archibald's specialty?

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

Is Andrea Archibald enrolled in Medicare?

Yes. Andrea Archibald is registered in the Medicare PECOS enrollment system.

Is Andrea Archibald affiliated with any hospitals?

According to CMS data, Andrea Archibald is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Archibald was last updated on February 9, 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.