Active NPI
Lauren Anderson
- Physician Assistant
- Columbia, MO
National Provider Identifier
1336000504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2026003575
- Practice address
- 1211 E Broadway Blvd
Columbia, MO 65201 - Phone
- (573) 442-2211
- NPI assigned
- Nov 18, 2025
- Last updated
- Aug 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-03297 | KS | |
| Physician Assistant | 363A00000X | 2026003575 | MO | Primary |
Addresses
Primary practice location
1211 E Broadway Blvd
Columbia, MO 65201
Mailing address
1211 E Broadway Blvd
Columbia, MO 65201
Other practice location 1
720 SW Lane St
Topeka, KS 66606-1539
Phone (785) 270-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1500 SW 10H Ave
Provider Enrollment Finance
Topeka, KS 66604-1301
1500 SW 10TH Ave
Provider Enrollment Finance
Topeka, KS 66604-1301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-03297 | KS | MD | Physician Assistant |
| 2026003575 | MO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1336000504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 E BROADWAY BLVD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 E BROADWAY BLVD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65201",
"telephone_number": "573-442-2211"
}
],
"practiceLocations": [
{
"address_1": "720 SW Lane St",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666061539",
"country_code": "US",
"telephone_number": "785-270-4800",
"fax_number": "785-270-4877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-18",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "15-03297",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2026003575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.