Shandon Wells Anderson, APRN-C
Individual provider Active NPI Primary Care Nurse Practitioner · Paola, KS
NPI 1609349265 · NPPES record last updated Jan 22, 2019
Key facts
- NPI
- 1609349265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 78535 (KS)
- Practice address
- 2100 Baptiste Dr
Paola, KS 66071-1314 - Phone
- (913) 294-2327
- NPI assigned
- Jan 7, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventhealth Ransom Memorial Inc
Practice addresses (Care Compare)
1301 S Main St
Adventhealth Medical Group
Ottawa, KS 66067-3537
Phone (785) 229-3367
Hospital & facility affiliations
- Adventhealth Ottawa
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.72 of 100
- Quality
- 57.99
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 61.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- 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 |
|---|---|---|---|---|
| I20190208000267 | KS | Practitioner - Nurse Practitioner | 2163760695 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TMP-157777 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventhealth Ransom Memorial, Inc. | Current |
Accepting new patients | |
| Miami County Medical Center Inc. | Current |
Accepting new patients | |
| Miami County Medical Center Inc. | Current |
Accepting new patients | |
| Miami County Medical Center Inc | Current | Accepting new patients | |
| Adventhealth Ransom Memorial, Inc. | Current |
Accepting new patients |
Locations
901 S Main St
Ottawa, KS 66067
Phone (785) 229-8888
1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367
2100 Baptiste Dr
Paola, KS 66071
Phone (913) 294-2327
22386 S Harrison St
Spring Hill, KS 66083
Phone (913) 592-0010
Interoperability endpoints
- sanderson661497@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TMP-157777 | KS | |
| Primary Care Nurse Practitioner | 363LP2300X | 78535 | KS | Yes |
Addresses
Primary practice location
2100 Baptiste Dr
Paola, KS 66071-1314
Mailing address
37540 Crescent Hill Rd
Osawatomie, KS 66064-5181
Phone (913) 369-5200
Other providers in Paola, KS
- Affiliated Heartland Podiatry
- Agape, LLC
- Pamela Alexander
- Chelsey Marie Allen
- Kelsey Nicole Anderson
- Arista Recovery Operator at Paola, LLC
- Ark Counseling Services, LLC
- Ark Counseling Services, LLC
- Armour Chiropractic LLC
- Charles W Armour III
All providers in Paola, KS · Primary Care Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 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.