Active NPI
Leanne J Anderson, D.O.
- Family Medicine Physician
- Alexandria, MN
National Provider Identifier
1093154403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 62806
- Practice address
- 1527 Broadway St
Alexandria, MN 56308-2537 - Phone
- (320) 762-0399
- NPI assigned
- Jun 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 64489 | WI | |
| Family Medicine Physician | 207Q00000X | 62806 | MN | Primary |
Addresses
Primary practice location
1527 Broadway St
Alexandria, MN 56308-2537
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other practice location 1
610 30th Ave W
Alexandria, MN 56308-3426
Phone (320) 763-2540
Other practice location 2
143 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-2121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171026002786 | MN | Practitioner - Family Practice | 3375837347 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center Fargo
Practice addresses (Care Compare)
1412 Main St
Hawley, MN 56549
Phone (218) 483-3564
1527 Broadway St
Alexandria, MN 56308-2537
Phone (320) 762-0399
Hospital & facility affiliations
- Sanford Medical Center Fargo
- Alomere Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62806 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Family Medicine | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Past | Accepting new patients | |
| Douglas County Hospital | Past | Accepting new patients |
Locations
1527 Broadway St
Alexandria, MN 56308
Phone (320) 762-0399
Interoperability endpoints
- landerson531135@direct.centracare.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
Family Medicine, MN
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1164424305
-
- Home Health Agency
- Fargo, ND
- NPI 1891861761
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1093154403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1527 BROADWAY ST",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563082537",
"telephone_number": "320-762-0399"
}
],
"practiceLocations": [
{
"address_1": "610 30th Ave W",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "MN",
"postal_code": "563083426",
"country_code": "US",
"telephone_number": "320-763-2540",
"fax_number": "320-763-5749",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "143 S Gibson St",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "WI",
"postal_code": "544511622",
"country_code": "US",
"telephone_number": "715-748-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "LEANNE",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2023-06-14",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "64489",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "62806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.