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Active NPI 1932393584 Individual Practitioner Female Practitioner

Andrea Nixt Ibbison , CRNA

Nurse Practitioner • Santa Rosa, CA

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Andrea Ibbison, CRNA is a registered Nurse Practitioner practitioner in Santa Rosa, CA. With approximately 9 years of clinical practice since completing medical education in 2017, Andrea Ibbison provides healthcare services at the registered practice location at 3883 AIRWAY DR STE 120.

Andrea Ibbison is affiliated with Sutter Bay Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for lens surgery, anesthesia for procedure on gastrointestinal tract using an endoscope, anesthesia for procedure on lower intestine using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3883 Airway Dr Ste 120

Santa Rosa, CA 954031678

Telephone 7075214495

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Santa Rosa, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -0.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
72 Specialists

Practicing in Santa Rosa, CA (8378 Statewide)

Telehealth Adoption Rate
15.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ibbison (9 Years) 9 Yrs
Santa Rosa Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00142 Anesthesia for lens surgery
132 109 $709.77 $134.16

Medical Specialties & State Licenses

CMS Verified: 2026-05-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95026546

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License CO APN.0994540-NP

Definition to come...

Nurse Anesthetist, Certified Registered

NUCC Taxonomy Code: 367500000X

State License VA 0024167511

(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.

Hospital & Practice Group Affiliations

Sutter Bay Medical Foundation

795 El Camino Real, Palo Alto, CA 943012302

Phone: 4156001020

Sutter Bay Medical Foundation

3883 Airway Dr, Santa Rosa, CA 954031671

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1093739708

Doctor of Medicine (M.D.)

Dr. Frederick Kronen , MD

Emergency Medicine

NPI 1093758617

Doctor of Medicine (M.D.)

Patrick Mcalpin

Nurse Practitioner

NPI 1265262752
NPI 1437350709

Doctor of Medicine (M.D.)

Derrick Pelton , NP

Nurse Practitioner - Family

NPI 1609208354

Nurse Practitioner

Dr. Shawn Franklin , MD

Emergency Medicine

NPI 1669422507

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 26, 2026

Registered at 3883 AIRWAY DR STE 120, SANTA ROSA, CA 954031678 (Tel: 7075214495)

📍
Updated Business Mailing Address May 26, 2026

Registered at 1221 N DUTTON AVE, SANTA ROSA, CA 954014607 (Tel: 7075438360)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2025

Nurse Practitioner (License #APN.0994540-NP in CO)

NPI Profile Active September 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2012

Registered at 4320 SEMINARY RD, INOVA ALEXANDRIA HOSPITAL, ALEXANDRIA, VA 223041535 (Tel: 7035043000)

📍
Updated Business Mailing Address September 11, 2012

Registered at 3998 FAIR RIDGE DR STE 320, FAIR OAKS ANESTHESIA ASSOCIATES, FAIRFAX, VA 220332921 (Tel: 7037669696)

👤
Provider Name / Credentials Updated September 11, 2012

Recorded as ANDREA IBBISON, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2012

Nurse Anesthetist, Certified Registered (License #0024167511 in VA)

🟢
Initial NPI Registration & Enumeration August 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932393584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2007
Last Update: May 26, 2026
Sole Proprietor: No

Mailing Address

1221 N Dutton Ave

Santa Rosa, CA 954014607

Phone: 7075438360

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.