Sharon R Anderson, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Rolla, MO
NPI 1417919432 · NPPES record last updated Sep 27, 2010
Key facts
- NPI
- 1417919432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 000780 (MO)
- Practice address
- 1210 Homelife PLZ
Rolla, MO 65401-2512 - Phone
- (573) 341-2971
- Fax
- (573) 341-8174
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mid-Missouri Foot and Ankle Center
Practice addresses (Care Compare)
1210 Homelife PLZ
Rolla, MO 65401-2512
Phone (573) 341-2971
Hospital & facility affiliations
- Texas County Memorial Hospital
- Phelps County Regional Medical Center
- Salem Memorial District Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.2 of 100
- Quality
- 56.11
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 30 |
| Removal of nail tissue | 610 |
| Removal or shaving of skin growth | 505 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101014000672 | MO | Practitioner - Podiatry | 7517969348 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000780 | MO | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Missouri Foot and Ankle Center | Foot & Ankle Surgery | Current |
Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1210 Homelife Plz
Rolla, MO 65401
Phone (573) 341-2971
202 N Lynn St
Waynesville, MO 65583
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000780 | MO | Yes |
Addresses
Primary practice location
1210 Homelife PLZ
Rolla, MO 65401-2512
Mailing address
PO Box 130
Rolla, MO 65402-0130
Phone (573) 341-2971
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308858919 | Medicaid | MO |
Other providers in Rolla, MO
- Paige Loring Alvarado
- Danielle Diane Alvarez
- Ameripath Indianapolis PC
- Ameripath Indianapolis PC
- William S Anast
- Angkor Audiology LLC
- Henry Joseph Antolak II
- Zuzanna Apel
- Angela Marie Appleman
- Applied Behavioral Solutions, Inc.
All providers in Rolla, MO · Foot & Ankle Surgery Podiatrist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2010. 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.