Individual provider Active NPI

Michael R Anderson, RN, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1295992097
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.1001330-NP Issued in CO
Practice address
6650 S Vine St Ste 100
Centennial, CO 80121-2740
Phone
(303) 535-7548
NPI assigned
May 20, 2008
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1001330-NP CO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6685217-4405 UT
Registered Nurse 163W00000X 6685217-3102 UT
Licensed Practical Nurse 164W00000X 6685217-3101 UT

Addresses

Primary practice location

6650 S Vine St Ste 100
Centennial, CO 80121-2740

Mailing address

474 W 200 N
Ste#300
St George, UT 84770-4505
Phone (435) 634-5600

Other practice location 1

245 S 680 S
Cedar City, UT 84720-3509
Phone (435) 586-0213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CO2 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
I20201012001960 UT Practitioner - Nurse Practitioner 2860812914 Reassigns benefits to 1 organization
I20260417000241 CO Practitioner - Nurse Practitioner 2860812914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Dakota School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest CenterGroup PAC ID 0941246086, 18 clinicians

Practice addresses (Care Compare)

245 E 680
Southwest Center/Southwest Behavioral Healt
Cedar City, UT 84720-3593
Phone (435) 867-7655

6650 S Vine St
Suite 100
Centennial, CO 80121-2740
Phone (303) 535-7548

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
6685217-3102UTMDRegistered Nurse
6685217-3101UTMDLicensed Practical Nurse
APN.1001330-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Center CurrentSince Jul 7, 2020 Accepting new patients
Southwest Center Current Accepting new patients
Klarisana Physician Services PLLC Past Accepting new patients
Klarisana Physician Services PLLC Psychiatric/Mental Health PastSince Jan 1, 2024 Accepting new patients

Locations

245 E 680 S
Cedar City, UT 84720
Phone (435) 867-7654

474 W 200 N
#300
St George, UT 84770
Phone (435) 634-5621

474 W 200 N
Ste 300
St George, UT 84770
Phone (435) 634-5606

Organizations & group practices 4

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 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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1295992097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 W 200 N",
            "address_2": "STE#300",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704505",
            "telephone_number": "435-634-5600",
            "fax_number": "435-986-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 S VINE ST STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801212740",
            "telephone_number": "303-535-7548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 S 680 S",
            "address_purpose": "LOCATION",
            "city": "Cedar City",
            "state": "UT",
            "postal_code": "847203509",
            "country_code": "US",
            "telephone_number": "435-586-0213",
            "fax_number": "435-865-9428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "RN, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1001330-NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "6685217-4405",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "6685217-3102",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "UT",
            "license": "6685217-3101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.