Shandon Wells Anderson, APRN-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

78535 Issued in KS

Practice address

2100 Baptiste Dr
Paola, KS 66071-1314

Phone

(913) 294-2327

NPI assigned

Jan 7, 2019

Last updated

Jan 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventhealth Ransom Memorial IncGroup PAC ID 4486996907, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014

Merit-based Incentive Payment System (MIPS)

Final score

75.72 of 100Reported as group

Quality

57.99

Promoting interoperability

100

Improvement activities

40

Cost

61.07

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sanderson661497@adventhealth.direct-ci.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.

• Adventhealth Ransom Memorial, Inc.

  • Family Medicine Physician
  • Ottawa, KS
  • NPI 1407319957
  Medicare reassignment Care Compare group NPD
• Miami County Medical Center Inc

  dba Miami County Medical Center PC

  • Emergency Medicine Physician
  • Paola, KS
  • NPI 1881742807
  Medicare reassignment NPD
• Olathe Health Physicians, Inc.

  • Family Medicine Physician
  • Olathe, KS
  • NPI 1598784639
  Medicare reassignment
• Adventhealth Ransom Memorial, Inc.

  • Rural Health Clinic/Center
  • Ottawa, KS
  • NPI 1558824805
  NPD
• Miami County Medical Center Inc.

  • Anesthesiology Physician
  • Paola, KS
  • NPI 1407603277
  NPD
• Miami County Medical Center Inc.

  dba Family Medicine Clinics of MCMC

  • Family Medicine Physician
  • Paola, KS
  • NPI 1538669346
  NPD

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

• Adventhealth Ransom Memorial, Inc.

  dba Adventhealth Ottawa

  • General Acute Care Hospital
  • Ottawa, KS
  • NPI 1972063758
  Care Compare affiliation

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1609349265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37540 CRESCENT HILL RD",
            "city": "OSAWATOMIE",
            "state": "KS",
            "postal_code": "660645181",
            "telephone_number": "913-369-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BAPTISTE DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711314",
            "telephone_number": "913-294-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHANDON",
        "middle_name": "WELLS",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "TMP-157777",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "78535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affiliated Heartland Podiatry
• Agape, LLC
• Pamela Alexander
• Chelsey Marie Allen
• Kelsey Nicole Anderson, PA
• Arista Recovery Operator at Paola, LLC
• Ark Counseling Services, LLC
• Ark Counseling Services, LLC
• Armour Chiropractic LLC (Armour Chiropractic)
• Charles W Armour III, DC

• Primary Care Nurse Practitioner in Paola, KS
• Providers in Paola, KS by specialty
• Primary Care Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.