Individual provider Active NPI

Jeanette Maria Anderson, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Glendale, AZ
National Provider Identifier
1104878875
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
32765 Issued in AZ
Practice address
18589 N 59TH Ave
Ste. 101
Glendale, AZ 85308-1258
Phone
(480) 353-2200
Fax
(480) 353-2201
NPI assigned
May 17, 2006
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 10240A WY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 32765 AZ Primary

Addresses

Primary practice location

18589 N 59TH Ave
Ste. 101
Glendale, AZ 85308-1258

Mailing address

16170 W Dynamite Blvd
Surprise, AZ 85387-6704
Phone (623) 640-7116

Other practice location 1

4140A Laramie St
Cheyenne, WY 82001-1969
Phone (307) 637-2800

Other practice location 2

7380 W 52nd Ave Unit 1
Arvada, CO 80002-3716
Phone (303) 463-5941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WY, CO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041006000846 AZ Practitioner - Family Practice 9830158799 Reassigns benefits to 2 organizations
I20151009001918 WY Practitioner - Family Practice 9830158799 Reassigns benefits to 1 organization
I20151027002952 CO Practitioner - Family PracticePractitioner - Geriatric Medicine 9830158799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32765AZMDGeriatric Medicine (Internal Medicine) Physician
10240AWYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince May 14, 2019 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Jan 31, 2024 Accepting new patients
Colorado Urgent Care PLLC CurrentSince Sep 8, 2024 Accepting new patients
Colorado Urgent Care PLLC CurrentSince Aug 1, 2015 Accepting new patients
College Drive Urgent Care LLC CurrentSince Aug 15, 2015 Accepting new patients
Medi Horizons Inc Family Medicine Past Accepting new patients
Southwest Phoenix Urgent Care LLC Past Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Apache Junction Urgent Care LLC Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Health Resource Center Past Accepting new patients
Casa Grande Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Nextcare Arizona LLC Past Accepting new patients
Arizona Institute of Geriatric Medicine Past Accepting new patients
Thomas Road Urgent Care LLC Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Colorado Urgent Care PLLC PastSince Aug 2, 2020 Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients

Locations (25 of 40)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (480) 931-3156

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

3130 E Baseline Rd
Ste 105
Mesa, AZ 85204
Phone (480) 497-5933

4401 E McKellips Rd
Ste 102
Mesa, AZ 85215
Phone (480) 550-8204

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021

3229 E Greenway Rd
Ste 102
Phoenix, AZ 85032
Phone (602) 788-3285

4730 E Indian School Rd
Ste 211
Phoenix, AZ 85018
Phone (602) 354-3491

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 455-2235

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

2122 N Scottsdale Rd
Scottsdale, AZ 85257
Phone (480) 889-3570

7425 E Shea Blvd
Ste 108
Scottsdale, AZ 85260
Phone (480) 348-1060

2530 W State Route 89A
Ste A
Sedona, AZ 86336
Phone (520) 203-4813

9745 W Bell Rd
Ste 105
Sun City, AZ 85351
Phone (623) 742-2999

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

Interoperability endpoints

  • Direct secure messaging: jeanette.andersonmd.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1104878875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16170 W DYNAMITE BLVD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853876704",
            "telephone_number": "623-640-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18589 N 59TH AVE",
            "address_2": "STE. 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081258",
            "telephone_number": "480-353-2200",
            "fax_number": "480-353-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4140A Laramie St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820011969",
            "country_code": "US",
            "telephone_number": "307-637-2800",
            "fax_number": "307-637-2867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7380 W 52nd Ave Unit 1",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800023716",
            "country_code": "US",
            "telephone_number": "303-463-5941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JEANETTE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WY",
            "license": "10240A",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "32765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.