Sennie Anderson, FNP
Individual provider Active NPI Nurse Practitioner · Grants Pass, OR
NPI 1124089271 · NPPES record last updated Jan 24, 2024
Key facts
- NPI
- 1124089271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 096006589N1 (OR)
- Practice address
- 741 NE 6TH St
Grants Pass, OR 97526-1556 - Phone
- (541) 471-2701
- Fax
- (541) 471-1166
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allcare Medical Group LLC
Practice addresses (Care Compare)
741 NE 6TH St
Grants Pass, OR 97526-1556
Phone (541) 471-2701
Hospital & facility affiliations
- Assured Home Health
- Asante Three Rivers Medical Center
- Asante Rogue Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051102001183 | OR | Practitioner - Nurse Practitioner | 3779501341 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096006589N1 | OR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allcare Medical Group LLC | Current |
Accepting new patients | |
| Mark Allen Rondeau | Past | Accepting new patients | |
| Northwest Family Practice LLC | Past | Accepting new patients |
Locations
341 E Cottage Park Dr
Ste 1
Cave Junction, OR 97523
Phone (541) 450-3625
741 NE 6th St
Grants Pass, OR 97526
Phone (541) 471-2701
1701 NE 7th St
Grants Pass, OR 97526
Phone (541) 471-4106
1716 Williams Hwy
Grants Pass, OR 97527
Phone (541) 474-6053
124 NW Midland Ave
Ste J
Grants Pass, OR 97526
Phone (541) 476-8859
Interoperability endpoints
- sennieanderson@acmgllc.allscriptsdirect.net
- sennieanderson@mvfp.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 096006589N1 | OR | Yes |
Addresses
Primary practice location
741 NE 6TH St
Grants Pass, OR 97526-1556
Mailing address
1701 NE 7TH St
Grants Pass, OR 97526-1319
Phone (541) 471-2701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082946 | Medicaid | OR |
Other providers in Grants Pass, OR
- Dane Anderson
- Jeremy Anderson
- Johnna Marlene Anderson
- Keith Robert Anderson
- Laura Anderson
- William David Anderson
- Linda Darlene Angel
- Cesar Hernandez Angeles
- Anthony Enrique Annicchiarico
- Carl Robert Anthony
All providers in Grants Pass, OR · Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2024. 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.