Individual provider Active NPI

Anastasia Mock Anderson, AUD

  • Audiologist
  • Orland Park, IL
National Provider Identifier
1063926939
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001738 Issued in IL
Practice address
16001 108TH Ave Ste A2
Orland Park, IL 60467-8789
Phone
(708) 460-0007
Fax
(708) 460-0005
NPI assigned
Nov 29, 2017
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001738 IL Primary

Addresses

Primary practice location

16001 108TH Ave Ste A2
Orland Park, IL 60467-8789

Mailing address

16001 108TH Ave Ste A2
Orland Park, IL 60467-8789
Phone (708) 460-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200314000050 IL Practitioner - Qualified Audiologist 1052671674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Rush Medical College of Rush University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest ENT Alliance PLLCGroup PAC ID 5294276259, 97 clinicians
DRS. Girgis and Associates, S.C.Group PAC ID 0244135226, 12 clinicians

Practice addresses (Care Compare)

16001 108TH Ave
Suite A2
Orland Park, IL 60467-8789
Phone (708) 460-0007

908 N Elm St
Suite 306
Hinsdale, IL 60521-3625
Phone (630) 323-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Girgis & Associates, S.C. CurrentSince Apr 1, 2020 Accepting new patients
Midwest ENT Alliance PLLC CurrentSince Aug 26, 2025 Accepting new patients
Century Ear Nose and Throat - Head and Neck Surgery Associates LTD CurrentSince Aug 26, 2025 Accepting new patients
Bastian Voice Institute, LLC PastSince Sep 22, 2003 Accepting new patients

Locations

3010 Highland Pkwy
Ste 550
Downers Grove, IL 60515
Phone (630) 724-1100

908 N Elm St
Ste 306
Hinsdale, IL 60521
Phone (630) 323-5214

5201 Willow Springs Rd
Ste 240
La Grange Highlands, IL 60525
Phone (630) 323-5214

4700 W 95th St
Ste 104
Oak Lawn, IL 60453
Phone (708) 460-0007

16001 108th Ave
Ste A2
Orland Park, IL 60467
Phone (708) 460-0007

Interoperability endpoints

  • Direct secure messaging: amock@girgisent.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1063926939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 108TH AVE STE A2",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678789",
            "telephone_number": "708-460-0007",
            "fax_number": "708-460-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 108TH AVE STE A2",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678789",
            "telephone_number": "708-460-0007",
            "fax_number": "708-460-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK ANDERSON",
        "first_name": "ANASTASIA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.