Belinda M Anderson, RN, MSN, MBA, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Marshall, TX
NPI 1316120751 · NPPES record last updated Nov 29, 2021
Key facts
- NPI
- 1316120751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP116787 (TX)
- Practice address
- 1779 Harkins LN
Marshall, TX 75672-3203 - Phone
- (903) 930-1318
- NPI assigned
- Dec 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pallicare, Inc
Practice addresses (Care Compare)
5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747
Hospital & facility affiliations
- Christus Good Shepherd Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20211217001035 | TX | Practitioner - Nurse Practitioner | 7810388378 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Business Administration, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030099 | LA | MD | Registered Nurse |
| 425143 | TX | MD | Registered Nurse |
| AP116787 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CH Specialty Services TX PLLC | Family | Current |
Accepting new patients |
| Pallicare, Inc | Current |
Accepting new patients | |
| Curana Health Medical Group LLC | Current |
Accepting new patients |
Locations
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
2802 Flintrock Trce
Ste 201
Austin, TX 78738
Phone (512) 407-2606
1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457
9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200
Interoperability endpoints
- belinda.anderson.1@26850.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- pallicareinc.belindaanderson@149733.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 425143 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP116787 | TX | Yes |
| Registered Nurse | 163W00000X | 030099 | LA |
Addresses
Primary practice location
1779 Harkins LN
Marshall, TX 75672-3203
Mailing address
1779 Harkins LN
Marshall, TX 75672-3203
Other providers in Marshall, TX
- Lia Alexander
- Mohd-Taha Ali
- Valarie L. Allman
- Alpha First Dental Clinic P.a
- Donna M Alzaga
- Katina Lynette Anderson
- Mary S Anderson
- Andrew G Glaze
- Desmond Vaughnkeith Andrus
- Applied Growth Behavioral Health Service LLC
All providers in Marshall, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2021. 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.