Active NPI
Carrie R Anderson, PA-C
- Physician Assistant
- Elgin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1550 N Randall Rd
Elgin, IL 60123-7876 - Phone
- (815) 398-9491
- NPI assigned
- May 2, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | IL | Primary |
Addresses
Primary practice location
1550 N Randall Rd
Elgin, IL 60123-7876
Mailing address
PO Box 735263
Chicago, IL 60673-5263
Phone (815) 398-9491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250618001247 | IL | Practitioner - Physician Assistant | 6709397573 | Reassigns benefits to 1 organization |
| I20250718000996 | WI | Practitioner - Physician Assistant | 6709397573 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthomidwest, PLLC
Practice addresses (Care Compare)
1550 N Randall Rd
Elgin, IL 60123-7876
Phone (815) 398-9491
324 Roxbury Rd
Rockford, IL 61107-5090
Phone (815) 398-9491
770 Beloit Rd
Belvidere, IL 61008-1745
Phone (815) 398-9491
Hospital & facility affiliations
- Uw Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomidwest, PLLC | Current | Accepting new patients | |
| Orthomidwest, PLLC | Physician Assistant | Current | Accepting new patients |
| Orthomidwest, PLLC | Current | Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
1550 N Randall Rd
Elgin, IL 60123
Phone (815) 569-6355
535 Roxbury Rd
Rockford, IL 61107
Phone (815) 387-1717
324 Roxbury Rd
Rockford, IL 61107
Phone (815) 381-7339
8400 Lakeview Pkwy
Ste 800
Pleasant Prairie, WI 53158
Phone (262) 455-7548
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 and National Provider Directory roles.
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IL, Physician Assistant, WI
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- Durable Medical Equipment & Medical Supplies
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- NPI 1245100932
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- Durable Medical Equipment & Medical Supplies
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- Joliet, IL
- NPI 1326752643
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- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1366237299
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1114716586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735263",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735263",
"telephone_number": "815-398-9491",
"fax_number": "815-381-7498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 N RANDALL RD",
"city": "ELGIN",
"state": "IL",
"postal_code": "601237876",
"telephone_number": "815-398-9491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CARRIE",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-02",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.