Individual provider Active NPI

Nikki Anderson

  • Family Nurse Practitioner
  • Mt Lebanon, PA
National Provider Identifier
1033909148
Registry record updated Jun 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP032023 Issued in PA
Practice address
328 Cochran Rd
Mt Lebanon, PA 15228-1232
Phone
(412) 563-3444
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN725739 PA
Family Nurse Practitioner 363LF0000X SP032023 PA Primary

Addresses

Primary practice location

328 Cochran Rd
Mt Lebanon, PA 15228-1232

Mailing address

328 Cochran Rd
Mt Lebanon, PA 15228-1232
Phone (412) 563-3444

Other practice location 1

715 Freeport Rd
Cheswick, PA 15024-1205
Phone (724) 274-3773

Other practice location 2

492C Cedar Ln Ste 514
Teaneck, NJ 07666-1713
Phone (732) 451-4318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250701000606 PA Practitioner - Nurse Practitioner 3577076710 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Pennsylvania LLCGroup PAC ID 5395827307, 84 clinicians
Integrated Wound Care Pennsylvania PLLCGroup PAC ID 5294075362, 9 clinicians

Practice addresses (Care Compare)

1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone (866) 398-2727

328 Cochran Rd
Pittsburgh, PA 15228-1232
Phone (866) 398-2727

4400 W Girard Ave
Philadelphia, PA 19104-1002
Phone (201) 870-1194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN725739PAMDRegistered Nurse
SP032023PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Pennsylvania LLC Family CurrentSince Jun 20, 2025 Accepting new patients
Integrated Wound Care Pennsylvania PLLC CurrentSince Jun 1, 2025 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Jun 20, 2025 Accepting new patients

Locations

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

715 Freeport Rd
Cheswick, PA 15024
Phone 412963915010149

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290

4400 W Girard Ave
Philadelphia, PA 19104
Phone (215) 477-1170

328 Cochran Rd
Pittsburgh, PA 15228
Phone (412) 563-3444

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749340800000",
    "number": "1033909148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 COCHRAN RD",
            "city": "MT LEBANON",
            "state": "PA",
            "postal_code": "152281232",
            "telephone_number": "412-563-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 COCHRAN RD",
            "city": "MT LEBANON",
            "state": "PA",
            "postal_code": "152281232",
            "telephone_number": "412-563-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Freeport Rd",
            "address_purpose": "LOCATION",
            "city": "Cheswick",
            "state": "PA",
            "postal_code": "150241205",
            "country_code": "US",
            "telephone_number": "724-274-3773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "492C Cedar Ln Ste 514",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076661713",
            "country_code": "US",
            "telephone_number": "732-451-4318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NIKKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN725739",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Lebanon, PA

Sources for this page

Verify at the official NPI Registry.