ANDREA LYNN MCGAW NP NPI 1558704445

NPI Information

  • NPI: 1558704445
  • Provider Name: ANDREA LYNN MCGAW, NP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 211 N EDDY ST
    NULL
    SOUTH BEND, IN
    ZIP 46617
  • Phone: (574) 234-8161

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NPI Details

Andrea Lynn Mcgaw, NP is an acute care nurse practitioner in South Bend, IN with 14 years of experience. Andrea Lynn Mcgaw, NP NPI is 1558704445. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

211 N EDDY ST
NULL
SOUTH BEND, IN
ZIP 46617-808
Phone: (574) 234-8161

The NPI 1558704445 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/10/2013 and was last updated on 12/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care0024185491VIRGINIAYes
2363LA2100XNurse PractitionerAcute CareAPRN.CNP.023826OHIONo
3363LA2100XNurse PractitionerAcute Care71004372AINDIANANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201162780MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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