Individual provider Active NPI

Jeri Leigh Anderson, ARNP

  • Family Nurse Practitioner
  • Crystal River, FL
National Provider Identifier
1356864599
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9326975 Issued in FL
Practice address
6199 W. Gulf to Lake Hwy
Crystal River, FL 34429
Phone
(352) 795-0644
Fax
(352) 795-5950
NPI assigned
Jul 19, 2017
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9326975 FL Primary

Addresses

Primary practice location

6199 W. Gulf to Lake Hwy
Crystal River, FL 34429

Mailing address

6199 W Gulf to Lake Hwy
Crystal River, FL 34429-2679
Phone (352) 795-0644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20170926001285 FL Practitioner - Nurse Practitioner 2567736853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadowcrest Physicians Partners LLCGroup PAC ID 7214233485, 6 clinicians

Practice addresses (Care Compare)

6199 W Gulf to Lake Hwy
Crystal River, FL 34429-2679
Phone (352) 795-0644

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9326975FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowcrest Physicians Partners LLC Family Medicine CurrentSince Jul 11, 2017 Accepting new patients
Meadowcrest Family Physicians, P.a. Family Medicine CurrentSince Jul 11, 2017 Accepting new patients
Meadowcrest Family Physicians, P.a. CurrentSince Jul 11, 2017 Accepting new patients

Locations

1250 N Vantage Point Dr
Crystal River, FL 34429
Phone (352) 795-0644

6199 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 795-0644

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73059

Organizations & group practices 3

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1356864599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6199 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344292679",
            "telephone_number": "352-795-0644",
            "fax_number": "352-795-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6199 W. GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34429",
            "telephone_number": "352-795-0644",
            "fax_number": "352-795-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JERI",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9326975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.