Mari Lee Anderson, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704270981 Issued in MI

Practice address

346 Long Rapids PLZ
Alpena, MI 49707-1374

Phone

(989) 358-3500

Fax

(989) 358-3733

NPI assigned

Aug 12, 2020

Last updated

Oct 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alcona Citizens for Health IncGroup PAC ID 5991691958, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mari.anderson.p1@direct.alcona.nextgenshare.com

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.

• Alcona Citizens for Health, Inc.

  dba Alcona Health Centers

  • Federally Qualified Health Center (FQHC)
  • Harrisville, MI
  • NPI 1326055450
  Medicare reassignment Care Compare group NPD
• Alcona Citizens for Health, Inc.

  dba Alcona Health Center Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Alpena, MI
  • NPI 1750159158
  NPD
• Alcona Citizens for Health Inc

  dba Alcona Health Center Pharmacy Services

  • Community/Retail Pharmacy
  • Alpena, MI
  • NPI 1407949845
  NPD (past)
• Alcona Citizens for Health Inc

  dba AHC Richardson Elementary School

  • Federally Qualified Health Center (FQHC)
  • Oscoda, MI
  • NPI 1487164257

  Nurse Practitioner

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1467063586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W WASHINGTON AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072929",
            "telephone_number": "989-736-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 LONG RAPIDS PLZ",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071374",
            "telephone_number": "989-358-3500",
            "fax_number": "989-358-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARI LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704270981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mari.anderson.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "346 Long Rapids Plz",
            "city": "Alpena",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497071374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alpena-Montmorency-Alcona Educational Service District
• American Pain Consultants Inc.
• Hope Amlotte, CHW
• Dawn Anderson
• Elwood G Anderson, ED.D
• Andrew C. Tarkington D.D.S. ,P.C.
• James Robert Antkowiak, PHARMD
• Tisha Antoniszczak, RN
• Apex Drug Stores Inc (Rite Aid Pharmacy 04532)
• Shay Appold, LPTA

• Nurse Practitioner in Alpena, MI
• Providers in Alpena, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.

Verify at the official NPI Registry.