ANDREW L HORSTMAN PA
NPI 1255336780
Physician Assistant - Medical in La Crosse, WI
NPI Status: Active since June 21, 2005
- Individual
- Male
- Physician Assistant
- Medical
- Accepts Insurance
- PECOS Enrolled
About ANDREW HORSTMAN
This page provides the complete NPI Profile along with additional information for Andrew Horstman, a primary care provider established in La Crosse, Wisconsin with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1255336780 assigned on June 2005. The practitioner's primary taxonomy code is 363AM0700X with license number 996 (WI). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1255336780
- Provider Name
- ANDREW L HORSTMAN PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1836 SOUTH AVE LA CROSSE, WI 54601
- Location Phone
- (608) 782-7300
- Mailing Address
- 1836 SOUTH AVE LA CROSSE, WI 54601
- Mailing Phone
- (608) 782-7300
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-21-2005
- Last Update Date
- 09-22-2015
- Code Navigator
A primary care provider (PCP) like Andrew Horstman sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 996
- License State
- WI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Partners HMO Bronze 5000 Ded/9200 MOOP - HMO
- Partners HMO Bronze 7500 Ded/9200 MOOP - HMO
- Partners HMO Bronze 7900 Ded/7900 MOOP HSA - HMO
- Partners HMO Gold 1000 Ded/6000 MOOP with Vision - HMO
- Partners HMO Gold 1500 Ded/7800 MOOP - HMO
- Partners HMO Gold 2900 Ded/2900 MOOP HSA - HMO
- Partners HMO Silver 4100 Ded/7500 MOOP with Vision - HMO
- Partners HMO Silver 5000 Ded/8000 MOOP - HMO
- Partners HMO Silver 5500 Ded/5500 MOOP HSA - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Wellmark Bronze HDHP HMO HSA Qualified - HMO
- Wellmark Bronze Traditional HMO - HMO
- Wellmark Gold Traditional HMO - HMO
- Wellmark Silver Traditional HMO - HMO
- Wellmark Standard Bronze HMO - HMO
- Wellmark Standard Gold HMO - HMO
- Wellmark Standard Silver HMO - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0455 | MEDICARE PIN (08) | WI | |
| S52852 | MEDICARE UPIN (02) | ||
| 42972600 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Andrew Horstman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for ANDREW L HORSTMAN PA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 3 | 3 | 6 | 7 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 3 | 12 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 3 + 1 + 2 + 7 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1255336780 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992708762 | MICHAEL H MADER MD Individual | Obstetrics & Gynecology | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1114920709 | RICHARD J MARCHIANDO DO Individual | Orthopaedic Surgery | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1831192111 | JACQUELINE A ADSIT APNP Individual | Nurse Practitioner | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1730182080 | RENUKA R AILIANI MD Individual | Obstetrics & Gynecology | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1689676900 | DAVID G MUSGJERD MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1780686097 | MARY E NELSON MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1356343636 | JUDSON F OMANS MD Individual | Emergency Medicine (Emergency Medical Services) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1700888922 | ARNOLD A ASP MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1235131517 | DAVID D NORENBERG MD Individual | Internal Medicine | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1477555605 | NELLEEN G NOACK MD Individual | Pediatrics (Neurodevelopmental Disabilities) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1922000199 | ROBERT R BABLITCH MSW Individual | Social Worker (Clinical) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1386646446 | LEAH A REIMANN MD Individual | Pediatrics | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1033111091 | CAMERON F ROBERTS MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1093717050 | RICHARD H REYNERTSON MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1922002914 | MARLENE A BANNEN PHD Individual | Psychologist (Cognitive & Behavioral) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1932103900 | P MICHAEL BANASIK DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1568466407 | SUE A BEIER-HANRATTY MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1962406710 | THOMAS R TERHORST MD Individual | Radiology (Diagnostic Radiology) | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1497759245 | JAMES W TERMAN MD Individual | Internal Medicine | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
| 1124022926 | HUMBERT G SULLIVAN MD Individual | Neurological Surgery | 1836 SOUTH AVE LA CROSSE, WI 54601 (608) 782-7300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255336780, enumerated in the NPI registry as an "individual" on June 21, 2005
The provider is located at 1836 South Ave La Crosse, Wi 54601 and the phone number is (608) 782-7300
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Group Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 21, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.