NPIMap

Individual provider Active NPI

Cameron Julian Anderson

  • Physician Assistant
  • Carroll, IA
National Provider Identifier
1457061442
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
117727 Issued in IA
Practice address
1214 S Grant Rd
Carroll, IA 51401-3102
Phone
(712) 792-7500
NPI assigned
Nov 30, 2022
Last updated
May 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 117727 IA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

1214 S Grant Rd
Carroll, IA 51401-3102

Mailing address

1214 S Grant Rd
Carroll, IA 51401-3102
Phone (712) 792-7500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address canderson113528@directmcfarlandclinic.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230218000396 IA Practitioner - Physician Assistant 4587036652 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

1214 S Grant Rd
Carroll, IA 51401-3102
Phone (712) 792-1500

1215 Duff Ave
Ames, IA 50010-5400
Phone (515) 239-4400

3500 University Blvd
Suite 1001
Ames, IA 50010-3014
Phone (515) 239-3040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
117727IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Boone County Hospital CurrentSince Jul 1, 2025 Accepting new patients
Boone County Hospital Current Accepting new patients
Boone County Hospital CurrentSince Feb 1, 2023 Accepting new patients
Boone County Hospital CurrentSince Feb 1, 2023 Accepting new patients
Mercy Clinics, Inc. Past Accepting new patients
McFarland Clinic, PC Past Accepting new patients

Locations

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

1015 Union St
Boone, IA 50036
Phone (515) 432-3140

1115 S Marshall St
Boone, IA 50036
Phone (515) 432-2335

120 S Story St
Boone, IA 50036
Phone (515) 432-3460

120 S Story St
Ste 1
Boone, IA 50036

320 W Walnut St
Ogden, IA 50212
Phone (515) 275-2417

Organizations & group practices 9

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 2

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": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1457061442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 S GRANT RD",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013102",
            "telephone_number": "712-792-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 S GRANT RD",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013102",
            "telephone_number": "712-792-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CAMERON",
        "middle_name": "JULIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-30",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "117727",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "canderson113528@directmcfarlandclinic.com",
            "affiliation": "N",
            "address_1": "1214 S Grant Rd",
            "city": "Carroll",
            "state": "IA",
            "country_code": "US",
            "postal_code": "514013102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.