Chris Anderson
Individual provider Active NPI Surgical Physician Assistant · Salt Lake City, UT
NPI 1043699101 · NPPES record last updated Oct 16, 2021
Key facts
- NPI
- 1043699101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- Practice address
- 30 North 1900 East #3C344
Salt Lake City, UT 84132 - Phone
- (801) 581-8301
- NPI assigned
- May 22, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Stanford University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Utah Adult Services
Practice addresses (Care Compare)
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121
50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995
Hospital & facility affiliations
- University of Utah Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.77 of 100
- Quality
- 91.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.42
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150805006330 | UT | Practitioner - Physician Assistant | 2264746262 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| Bronson Lakeview Hospital | Past | Accepting new patients | |
| University of Utah Pediatric Surgeons | Past |
Accepting new patients |
Locations
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- canderson151461@direct.med.utah.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | UT | Yes |
Addresses
Primary practice location
30 North 1900 East #3C344
Salt Lake City, UT 84132
Mailing address
3850 Iron Wheel CT
Rocklin, CA 95765-4655
Phone (805) 459-4147
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | canderson151461@direct.med.utah.edu | Direct | University of Utah |
Other providers in Salt Lake City, UT
- Cami Kuipers Anderson
- Carrie Anderson
- Carrie Ann Anderson
- Chelsey L Anderson
- Chloe Anderson
- Ciara Anderson
- Clayton Anderson
- Craig Bryce Anderson
- Cristie Anderson
- Daniel L Anderson
All providers in Salt Lake City, UT · Surgical Physician Assistant in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.