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

Andrew William Fonderlin, RN

Individual provider Registered Nurse · NPI 1831941392

Andrew William Fonderlin, RN is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Maine. Qualified in 2024, 2 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine and Ohio.

Years since qualifying
2
Licensed in
ME, OH
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3175
Phone: (207) 662-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9500 Euclid Ave, Cleveland, OH 44195-0002 — (216) 444-2200

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RNA243055 (ME)
Registered Nurse Taxonomy 163W00000X · Licence RN.459526 (OH)

Record details

NPI number1831941392
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedApril 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateJuly 30, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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