Mary Ellen Anderson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3004690 Issued in KY

Practice address

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

Phone

(270) 417-5911

Fax

(270) 417-6497

NPI assigned

Sep 22, 2006

Last updated

Sep 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Services Southeast PSCGroup PAC ID 0345694766, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: manderson110641@direct.owensborohealth.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.

• Urgent Care Services Southeast PSC

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1427831759

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Kentucky Em-I Medical Services PSC

  • Emergency Medicine Physician
  • Ashland, KY
  • NPI 1356848121

  Nurse Practitioner

  Medicare reassignment NPD
• Owensboro Health Medical Group Inc

  dba Owensboro Health Muhlenberg Community Hospital Wound Center

  • Surgery Physician
  • Greenville, KY
  • NPI 1235518242
  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  Nurse Practitioner

  Medicare reassignment NPD
• Concord Company of Tennessee PLLC

  • Emergency Medicine Physician
  • Leitchfield, KY
  • NPI 1649743667
  Medicare reassignment
• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385
  Medicare reassignment
• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865
  Medicare reassignment
• Kentucky Em-I Medical Services PSC

  • Nurse Practitioner
  • Bowling Green, KY
  • NPI 1083869135
  NPD
• Owensboro Health Medical Group Inc

  dba Owensboro Health Medical Group Premier Primary Care

  • Internal Medicine Physician
  • Owensboro, KY
  • NPI 1306700711

  Family

  NPD
• Owensboro Health Medical Group Inc

  dba Owensboro Health Education and Wellness

  • Family Medicine Physician
  • Owensboro, KY
  • NPI 1477914927
  NPD
• Southeastern Emergency Services P C

  • Nurse Practitioner
  • Athens, TN
  • NPI 1669414264
  NPD
• Community Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Glasgow, KY
  • NPI 1588766349
  NPD (past)

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

• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865

  Hospital

  Care Compare affiliation
• T J Samson Community Hospital

  • General Acute Care Hospital
  • Glasgow, KY
  • NPI 1770581894
  Care Compare affiliation

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1598865347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RAINTREE PL",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412244",
            "telephone_number": "818-462-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PLEASANT VALLEY RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039811",
            "telephone_number": "270-417-5911",
            "fax_number": "270-417-6497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 Will Walker Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "KY",
            "postal_code": "427287436",
            "country_code": "US",
            "telephone_number": "270-384-9981",
            "fax_number": "270-384-9989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4690P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manderson110641@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "1201 Pleasant Valley Rd",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423039811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jin S. Amon, M.D.
• Amy S Carrico DMD PLLC
• Robert Dan Andersen, MD
• Heather Marie Anderson
• Lauren Anderson, PT
• Melanie Anderson, NP
• Amanda Jane Andrew Brown, LPCC
• Anesthesiology Medical Services PSC
• Michael Anno, DO
• Anthony W Durall DMD PSC

• Family Nurse Practitioner in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.