Lucas Kaarsberg Andersen, MMS,PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

8782 Issued in AZ

Practice address

1635 E Myrtle Ave
Phoenix, AZ 85020-5556

Phone

(602) 944-2900

NPI assigned

Sep 16, 2021

Last updated

May 4, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Physician Assistant

Education

Midwestern University, Chicago College of Osteopathic Med, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Institute for Spine Care PCGroup PAC ID 1951347475, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arizona Orthopedic and Surgical Specialty Hospital Hospital, Phoenix, AZ, CCN 030112
• The Core Institute Specialty Hosp Hospital, Phoenix, AZ, CCN 030108

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: lucas.andersen.p1@direct.sciatica.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.

• Desert Institute for Spine Care PC

  • Specialist
  • Phoenix, AZ
  • NPI 1205856127
  Medicare reassignment Care Compare group

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

• Orthopedic and Surgical Specialty Company, LLC

  dba Arizona Specialty Hospital

  • Special Hospital
  • Phoenix, AZ
  • NPI 1124163530
  Care Compare affiliation
• Surgical Specialty Hospital of Arizona, LLC

  dba The Core Institute Specialty Hospital

  • Special Hospital
  • Phoenix, AZ
  • NPI 1902881295
  Care Compare affiliation

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1538839907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 E MYRTLE AVE",
            "address_2": "STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205514",
            "telephone_number": "317-224-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 E MYRTLE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205556",
            "telephone_number": "602-944-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "LUCAS",
        "middle_name": "KAARSBERG",
        "credential": "MMS,PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "8782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lucas.andersen.p1@direct.sciatica.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1635 E Myrtle Ave",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850205556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brynna Nicole Andersen
• Julie K Andersen, OTR/L
• Kayla Rose Andersen, MD
• Lana Louise Andersen, CRNFA
• Laura Ann Andersen, PAC
• Matthew H Andersen, MD
• Nicholas William Andersen, PT, DPT
• Teresa Andersen
• Heather Simone Malissa Sue Anderson Nicholson
• Alecia Anderson

• Surgical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.