Jeffrey C Anderson, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP-1314A Issued in ID

Practice address

1069 Summers Dr Ste B
Rexburg, ID 83440-5335

Phone

(208) 607-9816

Fax

(208) 549-7883

NPI assigned

Jul 25, 2013

Last updated

Mar 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jamestown S'Klallam TribeGroup PAC ID 2365349495, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: janderson3271104@wm.providencedirect.org

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.

• Jamestown S'Klallam Tribe

  dba Jamestown Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Sequim, WA
  • NPI 1134181555
  Medicare reassignment Care Compare group NPD
• Jamestown S'Klallam Tribe

  dba Jamestown Healing Clinic

  • Federally Qualified Health Center (FQHC)
  • Sequim, WA
  • NPI 1023195161
  NPD
• Jamestown S'Klallam Tribe

  dba Jamestown Family Health

  • Family Medicine Physician
  • Sequim, WA
  • NPI 1528809761
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clallam County Public Hospital District 2

  dba Olympic Medical Center

  • General Acute Care Hospital
  • Port Angeles, WA
  • NPI 1306845557
  Care Compare affiliation

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1497197891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 SUMMERS DR STE B",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405335",
            "telephone_number": "208-607-9816",
            "fax_number": "208-549-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 SUMMERS DR STE B",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405335",
            "telephone_number": "208-607-9816",
            "fax_number": "208-549-7883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 N 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Sequim",
            "state": "WA",
            "postal_code": "983823045",
            "country_code": "US",
            "telephone_number": "360-683-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-25",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP-1314A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2283927",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Hardy Allred, D.O.
• Alpine Dermatology Clinic P.C.
• Scott Kay Andersen, LCPC
• David Howard Anderson, RPH
• Emma Anderson, M.S., CCC-SLP
• Jeffrey D. Anderson, MS, CCC-SLP
• Julie Marie Anderson, P.A.
• Michael Anderson, D.O.
• Rebecca Jo Anderson, M.S.
• Rylie Anderson

• Psychiatric/Mental Health Nurse Practitioner in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.