Myah Elizabeth Anderson, PA-C
Individual provider Active NPI Physician Assistant · Chicago, IL
NPI 1497433320 · NPPES record last updated Oct 6, 2025
Key facts
- NPI
- 1497433320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1253 N Milwaukee Ave
Chicago, IL 60622-9318 - Phone
- (773) 435-8247
- Fax
- (773) 663-4770
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230830000358 | IL | Practitioner - Physician Assistant | 7911360599 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Express Care, SC | Past | Accepting new patients | |
| Innovative Express Care | Past | Accepting new patients |
Interoperability endpoints
- myah.anderson.1@13676.direct.athenahealth.com
- https://api.platform.athenahealth.com/1798/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1253 N Milwaukee Ave
Chicago, IL 60622-9318
Mailing address
2325 W Haddon Ave Apt 1R
Chicago, IL 60622-2970
Phone (906) 221-5421
Other providers in Chicago, IL
- Mark Joseph Anderson
- Matthew David Anderson
- Megan Michelle Anderson
- Melanie Anne Anderson
- Michelle E Anderson
- Nancy J Anderson
- Nathaniel Bo Anderson
- Nicholas Hoffman Anderson
- Noah Anderson
- Oscar Anderson
All providers in Chicago, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.