ANDREA NIXT IBBISON CRNA
NPI 1932393584
Nurse Practitioner in Santa Rosa, CA

Active since August 28, 2007PECOS EnrolledAccepts Medicare Assignment
3883 AIRWAY DR STE 120, SANTA ROSA, CA 95403(707) 521-4495 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2026, Feb 10, 2025, Sep 23, 2019 (3 updates tracked since 2019).

About Andrea Nixt Ibbison Crna NPPES

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

ANDREA NIXT IBBISON CRNA (NPI 1932393584) is an individual nurse practitioner in Santa Rosa, California, licensed in California (95026546) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1932393584
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANDREA NIXT IBBISONCredential: CRNA
Location Address3883 AIRWAY DR STE 120Santa Rosa, CA 95403-1678
Mailing Address1221 N Dutton AveSanta Rosa, CA 95401-4607 · (707) 543-8360
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 28, 2007
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1932393584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95026546
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN.0994540-NP (CO)
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 0024167511 (VA)
3883 AIRWAY DR STE 120, Santa Rosa, CA 95403

Other Names 1

Former Name (1)Andrea Marie Nixt

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

Andrea Nixt Ibbison Crna 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 ID5193895910
PECOS Enrollment IDI20240619000608
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

4

Medicare enrollment records show Andrea Ibbison reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
1221 NORTH DUTTON AVENUE
Santa Rosa, CA 95401
  • Reassigned Medicare billing, California enrollment
  • 304 clinicians in this Medicare group
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Emergency Medicine
1101 VAN NESS AVE
San Francisco, CA 94109
  • Reassigned Medicare billing, California enrollment
  • 155 clinicians in this Medicare group
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

Other Providers at the Same Location NPPES 10

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

Family Medicine
3883 AIRWAY DR STE 120
SANTA ROSA, CA 95403
Emergency Medicine
3883 AIRWAY DR STE 120
SANTA ROSA, CA 95403
Nurse Practitioner
3883 AIRWAY DR STE 120
SANTA ROSA, CA 95403
Pediatrics
3883 AIRWAY DR STE 120
SANTA ROSA, CA 95403
Nurse Practitioner (Family)
3883 AIRWAY DR STE 120
SANTA ROSA, CA 95403
Emergency Medicine
3883 AIRWAY DR STE 120
SANTA ROSA, CA 95403
Emergency Medicine
3883 AIRWAY DR STE 120
SANTA ROSA, CA 95403
Physician Assistant
3883 AIRWAY DR STE 120
SANTA ROSA, CA 95403

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 Ibbison's NPI number?

The NPI number for Andrea Ibbison is 1932393584. It was assigned to this individual provider in the NPPES registry on August 28, 2007. The provider is also known as Andrea Marie Nixt.

Where is Andrea Ibbison located?

Andrea Ibbison practices at 3883 Airway Dr Ste 120, Santa Rosa, CA 95403. The listed phone number is (707) 521-4495.

What is Andrea Ibbison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Andrea Ibbison enrolled in Medicare?

Yes. Andrea Ibbison 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 Andrea Ibbison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Ibbison reassigns Medicare benefits to 4 organizations: American Current Care Of California, A Medical Corporation (Santa Rosa, CA), Permanente Medical Group Inc (Vallejo, CA), San Francisco Emergency Medical Associates (San Francisco, CA) and Sutter Bay Medical Foundation (Orinda, CA). 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 Andrea Ibbison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Ibbison accept?

Health plans from Oscar Health and Oscar Insurance Company list Andrea Ibbison 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 Ibbison was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.