RHONDA M ANDRUS, RN — NPI 1104134543 (Licensed & Credentialed Registered Nurse, Psych/Mental Health in SENECA FALLS, NY)

CMS-1500 Box 24J / 33a • NPI

1104134543

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WP0808X

Licensed & Credentialed Registered Nurse, Psych/Mental Health

Box 32 Service Location & ZIP+4

12 N PARK ST, SENECA FALLS, NY, 13148-1437

✓ 9-Digit EDI 837 ZIP+4 (13148-1437)

Practice Phone & Referral Fax

(315) 568-9412

Fax: (315) 568-6718

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104134543 (RHONDA M ANDRUS, RN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104134543` (NPI-1 Individual Practitioner)
Provider / Legal Name	RHONDA M ANDRUS, RN
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Psych/Mental Health NUCC Code: `163WP0808X` (Registered Nurse, Psych/Mental Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	12 N PARK ST, SENECA FALLS, NY, 13148-1437
Practice Telephone / Fax	Tel: (315) 568-9412 \| Fax: (315) 568-6718
Administrative Mailing Address	12 N PARK ST, SENECA FALLS, NY, 13148-1437
Enumeration & Last Sync	Enumerated: 2010-09-20 \| CMS Record Updated: 2010-09-20

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12 N PARK ST, SENECA FALLS, NY, 13148-1437

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Plain-English Taxonomy & CMS Crosswalk (163WP0808X)

What Does Taxonomy Code 163WP0808X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WP0808X translates to:
"Licensed & Credentialed Registered Nurse, Psych/Mental Health"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Psych/Mental Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RHONDA M ANDRUS, RN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WP0808X` — Registered Nurse, Psych/Mental Health Plain English: Licensed & Credentialed Registered Nurse, Psych/Mental Health	State: NY \| License: `534012 1` \| Primary: Yes (Primary)

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RHONDA M ANDRUS, RN (NPI #1104134543)