Nicole Anderson, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601003919 Issued in MI

Practice address

1400 W Ice Lake Rd
Iron River, MI 49935-9526

Phone

(906) 265-6121

Fax

(906) 265-2033

NPI assigned

Mar 20, 2007

Last updated

Jul 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspirus Iron River Hospital and Clinics IncGroup PAC ID 5294648929, 50 clinicians

Aspirus Ironwood Hospital and Clinics IncGroup PAC ID 9032013198, shared by 5 NPIs, 165 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspirus Iron River Hospital & Clinics, Inc Hospital, Iron River, MI, CCN 231318
• Aspirus Iron River Hospital & Clinics, Inc Nursing home, CCN 23Z318

Merit-based Incentive Payment System (MIPS)

Final score

95.77 of 100Reported as group

Quality

89.76

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Aspirus Iron River Hospital & Clinics, Inc.

  dba Aspirus Iron River Hospital

  • Critical Access Hospital
  • Iron River, MI
  • NPI 1497750830
  Medicare reassignment Care Compare group
• Aspirus Iron River Hospital & Clinics, Inc.

  dba Aspirus Iron River Clinic

  • Rural Health Clinic/Center
  • Iron River, MI
  • NPI 1306344783
  NPD
• Aspirus Iron River Hospital & Clinics, Inc.

  dba Northstar Home Care & Hospice

  • Community Based Hospice Care Agency
  • Iron River, MI
  • NPI 1609066356
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aspirus Iron River Hospital & Clinics, Inc.

  dba Aspirus Iron River Clinic

  • Multi-Specialty Clinic/Center
  • Iron River, MI
  • NPI 1457865198

  Hospital

  Care Compare affiliation
• Aspirus Iron River Hospital & Clinics, Inc.

  dba Aspirus Iron River Hospital

  • Critical Access Hospital
  • Iron River, MI
  • NPI 1497750830
  Care Compare affiliation
• Aspirus Iron River Hospital & Clinics, Inc.

  dba Aspirus Iron River Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Iron River, MI
  • NPI 1659571974

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1245355049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W ICE LAKE RD",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499359526",
            "telephone_number": "906-265-6141",
            "fax_number": "906-265-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W ICE LAKE RD",
            "city": "IRON RIVER",
            "state": "MI",
            "postal_code": "499359526",
            "telephone_number": "906-265-6121",
            "fax_number": "906-265-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NICOLE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003919",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003919",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MI",
            "identifier": "700C610000",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41951600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Care Smile Center Inc
• Advanced Home Medical, LLC (Total Respiratory)
• Advanced Smile Design, Inc.
• Terry Marie Anderson, SLP
• Marites Q Ansay, M.D.
• Aspirus Iron River Hospital & Clinics, Inc. (Aspirus Iron River Hospital)
• Aspirus Iron River Hospital & Clinics, Inc. (Aspirus Iron River Hospital)
• Aspirus Iron River Hospital & Clinics, Inc. (Aspirus Iron River Clinic)

• Physician Assistant in Iron River, MI
• Providers in Iron River, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.

Verify at the official NPI Registry.