ANDREA NICOLE JONES MD
NPI 1942643457
Pediatrics in Madison, WI

Q: What is Andrea Jones's NPI number?

The NPI number for Andrea Jones is 1942643457. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Q: What is Andrea Jones's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Jones was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 15, 2013PECOS Enrolled

600 HIGHLAND AVE, MADISON, WI 53792(608) 265-5545 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 1, 2021, Nov 22, 2017, Aug 11, 2016 (3 updates tracked since 2016).

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About Andrea Nicole Jones Md NPPES

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

ANDREA NICOLE JONES MD (NPI 1942643457) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (63232) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942643457

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameANDREA NICOLE JONESCredential: MD

Location Address600 HIGHLAND AVEMadison, WI 53792-0001

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · (608) 829-5485 · Fax (608) 833-0999

Phone(608) 265-5545

Sole ProprietorNo

Enumeration DateApril 15, 2013

Last NPPES UpdateFebruary 1, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2021

✔ NPI 1942643457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 63232

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License 63232 (WI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

600 HIGHLAND AVE, Madison, WI 53792

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.Insurance ›

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 Nicole Jones Md 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 53792 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

JASON ALAN CHRISTENSEN PHARMD

Pharmacist

600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792

Dane County (608) 662-0817

LAURA JEAN KOPPLIN MD, PHD

Ophthalmology