Jeanette Maria Anderson, MD
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Glendale, AZ
NPI 1104878875 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1104878875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 32765 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nextcare Arizona I JV LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AZ, WY, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Practice |
9830158799 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32765 | AZ | MD | Geriatric Medicine (Internal Medicine) Physician |
| 10240A | WY | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextcare Arizona LLC | Current |
Accepting new patients | |
| Colorado Urgent Care PLLC | Current |
Accepting new patients | |
| College Drive Urgent Care LLC | Current |
Accepting new patients | |
| Colorado Urgent Care PLLC | Current |
Accepting new patients | |
| Nextcare Arizona I JV LLC | Current |
Accepting new patients | |
| Nextcare Arizona LLC | Past | Accepting new patients | |
| Southwest Phoenix Urgent Care LLC | Past | Accepting new patients | |
| Health Resource Center | Past | Accepting new patients | |
| Pinnacle Medicine Inc. | Past | Accepting new patients | |
| Casa Grande Urgent Care LLC | Past | Accepting new patients | |
| Apache Junction Urgent Care LLC | Past | Accepting new patients | |
| Shea Urgent Care LLC | Past | Accepting new patients | |
| Dana Landing Urgent Care LLC | Past | Accepting new patients | |
| Medi Horizons Inc | Family Medicine | Past | Accepting new patients |
| Glendale Urgent Care LLC | Past | Accepting new patients | |
| Avondale Urgent Care LLC | Past | Accepting new patients | |
| Desert Ridge Urgent Care LLC | Past | Accepting new patients | |
| Thomas Road Urgent Care LLC | Past | Accepting new patients | |
| Arizona Institute of Geriatric Medicine | Past | Accepting new patients | |
| Sun City Urgent Care LLC | Past | Accepting new patients | |
| Greenway Urgent Care LLC | Past | Accepting new patients | |
| Colorado Urgent Care PLLC | Past |
Accepting new patients | |
| Chandler 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
9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226
18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600
10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060
3130 E Baseline Rd
Ste 105
Mesa, AZ 85204
Phone (480) 497-5933
535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855
4401 E McKellips Rd
Ste 102
Mesa, AZ 85215
Phone (480) 550-8204
1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130
20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600
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
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
2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103
7425 E Shea Blvd
Ste 108
Scottsdale, AZ 85260
Phone (480) 348-1060
2122 N Scottsdale Rd
Scottsdale, AZ 85257
Phone (480) 889-3570
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
- jeanette.andersonmd.p1@direct.nextcare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 10240A | WY | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 32765 | AZ | Yes |
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
Other providers in Glendale, AZ
- David Anderson
- Djin Anderson
- Dorothy L Anderson
- Ezekiel John Anderson
- Gregory Stephen Anderson
- Jessica Marie Anderson
- John Scott Anderson
- Kathleen Anderson
- Stephanie Kay Anderson
- Theodore Anderson
All providers in Glendale, AZ · Geriatric Medicine (Internal Medicine) Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. 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.