Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Nixt Ibbison, CRNA

Individual provider Family Nurse Practitioner · NPI 1932393584

Andrea Nixt Ibbison, CRNA is a Nurse Practitioner in Santa Rosa, California. Qualified in 2017, 9 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group and accepts Medicare assignment. Licensed in California, Colorado and Virginia.

Years since qualifying
9
Licensed in
CA, CO, VA
In the registry since
2007
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

3883 Airway Dr Ste 120
Santa Rosa, CA 95403-1678
Phone: (707) 521-4495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95026546 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN.0994540-NP (CO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 0024167511 (VA)

Record details

NPI number1932393584
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 28, 2007
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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