Individual provider Active NPI

Chanda Richele Anderson, DNP

  • Family Nurse Practitioner
  • Norfolk, NE
National Provider Identifier
1508401548
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113018 Issued in NE
Practice address
3901 W Norfolk Ave
Norfolk, NE 68701-4467
Phone
(402) 371-3939
NPI assigned
Nov 13, 2019
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 113018 NE Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20200102001146 NE Practitioner - Nurse Practitioner 7315371143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NMG LLCGroup PAC ID 4981632544, 9 clinicians

Practice addresses (Care Compare)

3901 W Norfolk Ave
Suite D
Norfolk, NE 68701-9218
Phone (402) 844-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Point Laboratory LLC CurrentSince Dec 9, 2019 Accepting new patients
NMG LLC CurrentSince Dec 9, 2019 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

301 N 27th St
Ste 3
Norfolk, NE 68701
Phone (402) 544-7262

3901 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 379-5555

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

Interoperability endpoints

  • Direct secure messaging: chanda.anderson.p1@direct.nmg25.nextgenshare.com

Organizations & group practices 3

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 5

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1508401548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 E WILLOW ST",
            "city": "PIERCE",
            "state": "NE",
            "postal_code": "687671648",
            "telephone_number": "402-750-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014467",
            "telephone_number": "402-371-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHANDA",
        "middle_name": "RICHELE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.