Chanda Richele Anderson, DNP
Individual provider Active NPI Family Nurse Practitioner · Norfolk, NE
NPI 1508401548 · NPPES record last updated Nov 13, 2019
Key facts
- NPI
- 1508401548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 113018 (NE)
- Practice address
- 3901 W Norfolk Ave
Norfolk, NE 68701-4467 - Phone
- (402) 371-3939
- NPI assigned
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- NMG LLC
Practice addresses (Care Compare)
3901 W Norfolk Ave
Suite D
Norfolk, NE 68701-9218
Phone (402) 844-8000
Hospital & facility affiliations
- Faith Health Home Health
- Bryan Medical Center
- Faith Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- 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 |
|---|---|---|---|---|
| I20200102001146 | NE | Practitioner - Nurse Practitioner | 7315371143 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NMG LLC | Current |
Accepting new patients | |
| Fountain Point Laboratory LLC | Current |
Accepting new patients | |
| MD West One, PC | Past | Accepting new patients |
Locations
901 S 4th St
Battle Creek, NE 68715
Phone (402) 675-2955
102 W 9th St
Neligh, NE 68756
Phone (402) 887-4151
3901 W Norfolk Ave
Ste B
Norfolk, NE 68701
Phone (402) 844-8016
3901 W Norfolk Ave
Ste D
Norfolk, NE 68701
Phone (402) 844-8000
301 N 27th St
Ste 3
Norfolk, NE 68701
Phone (402) 544-7262
3901 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 379-5555
Interoperability endpoints
- chanda.anderson.p1@direct.nmg25.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 113018 | NE | Yes |
Addresses
Primary practice location
3901 W Norfolk Ave
Norfolk, NE 68701-4467
Mailing address
632 E Willow St
Pierce, NE 68767-1648
Phone (402) 750-8904
Other providers in Norfolk, NE
- Zayla Andersen
- Aimee Anderson
- Alex Anderson
- Angela Kaye Anderson
- Anton Anderson
- Erin Rose Anderson
- Jessica Jane Anderson
- Jill Anderson
- Julie Mary Anderson
- Kristi Anderson
All providers in Norfolk, NE · Family Nurse Practitioner in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2019. 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.