Active NPI
Rebecca A Anderson, P.A.
- Physician Assistant
- Topeka, KS
National Provider Identifier
1720054182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15-00320
- Practice address
- 3405 NW Hunters Ridge Ter
Topeka, KS 66618-2509 - Phone
- (785) 295-5325
- Fax
- (785) 295-5334
- NPI assigned
- Feb 27, 2006
- Last updated
- Sep 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-00320 | KS | Primary |
Addresses
Primary practice location
3405 NW Hunters Ridge Ter
Topeka, KS 66618-2509
Mailing address
4921 W 18TH St
Lawrence, KS 66047-2090
Phone (785) 830-0100
Other practice location 1
818 N Carriage Pkwy
Wichita, KS 67208
Phone (316) 651-2252
Other practice location 2
4921 W 18th St
Lawrence, KS 66047-2090
Phone (785) 830-0100 ext. 108
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100293650H | Medicaid | KS | |
| 003719148 | Other | MEDICARE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-00320 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Mission Medical Center Inc | Current | Accepting new patients | |
| Galichia Medical Group, P.a. | Past | Accepting new patients |
Locations
9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
Interoperability endpoints
- randerson1189554@adventhealth.direct-ci.com
Organizations & group practices 2
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
-
- Cardiovascular Disease Physician
- Wichita, KS
- NPI 1447238621
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawrence, KS
- NPI 1508883422
-
dba AdventHealth Shawnee Mission
- General Acute Care Hospital
- Merriam, KS
- NPI 1023171634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1720054182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4921 W 18TH ST",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660472090",
"telephone_number": "785-830-0100",
"fax_number": "785-830-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 NW HUNTERS RIDGE TER",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666182509",
"telephone_number": "785-295-5325",
"fax_number": "785-295-5334"
}
],
"practiceLocations": [
{
"address_1": "818 N Carriage Pkwy",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "67208",
"country_code": "US",
"telephone_number": "316-651-2252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4921 W 18th St",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "KS",
"postal_code": "660472090",
"country_code": "US",
"telephone_number": "785-830-0100 x108",
"fax_number": "785-830-0115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "REBECCA",
"middle_name": "A",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "15-00320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100293650H",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "003719148",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.