Individual provider Active NPI

Michael Allen Anderson, PA

  • Medical Physician Assistant
  • Atlantic, IA
National Provider Identifier
1144658253
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA063449 Issued in PA
Practice address
1501 E 10TH St
Atlantic, IA 50022-1936
Phone
(712) 243-3250
NPI assigned
Oct 29, 2013
Last updated
May 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA063449 PA Primary
Physician Assistant 363A00000X PA60419014 WA

Addresses

Primary practice location

1501 E 10TH St
Atlantic, IA 50022-1936

Mailing address

1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 243-3250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220503000719 PA Practitioner - Physician Assistant 0749418903 Reassigns benefits to 3 organizations
I20241030003497 IA Practitioner - Physician Assistant 0749418903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cass County Memorial HospitalGroup PAC ID 5294634994, shared by 9 NPIs, 67 clinicians

Practice addresses (Care Compare)

1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 243-3250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA063449PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cass County Memorial Hospital CurrentSince Oct 7, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Sep 26, 2022 Accepting new patients
Cass County Memorial Hospital CurrentSince Jun 25, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Sep 26, 2022 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jun 6, 2022 Accepting new patients
Lebanon Internal Medicine Associates, P.C. CurrentSince Apr 1, 2023 Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Jun 6, 2022 Accepting new patients
Cass County Memorial Hospital CurrentSince Oct 7, 2024 Accepting new patients

Locations

1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850

1501 E 10th St
Ste 120
Atlantic, IA 50022
Phone (712) 243-2850

9 Nathan Ln
Annville, PA 17003
Phone (717) 639-3350

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

755 Norman Dr
Lebanon, PA 17042
Phone (717) 273-6706

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1144658253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221936",
            "telephone_number": "712-243-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221936",
            "telephone_number": "712-243-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-29",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063449",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60419014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

Verify at the official NPI Registry.