Jessica Jean Anderson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

401 Douglas Ave
Henning, MN 56551-4026

Phone

(218) 583-2953

NPI assigned

Jun 19, 2017

Last updated

Mar 17, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

University of North Dakota School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Astera HealthGroup PAC ID 2961395272, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Astera Health Hospital, Wadena, MN, CCN 241354

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: janderson371178@direct.centracare.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.

• Astera Health

  dba Tri- County Health Care

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1477545333
  Medicare reassignment Care Compare group NPD
• Astera Health

  dba Astera Health Wadena Clinic

  • Rural Health Clinic/Center
  • Wadena, MN
  • NPI 1134305162
  Medicare reassignment
• Astera Health

  dba Tri-County Health Care

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1881725224
  NPD

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

• Astera Health

  dba Tri- County Health Care

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1477545333
  Care Compare affiliation
• Astera Health

  dba Astera Health Ottertail Clinic

  • Rural Health Clinic/Center
  • Ottertail, MN
  • NPI 1871546663

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720518913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DOUGLAS AVE",
            "city": "HENNING",
            "state": "MN",
            "postal_code": "565514026",
            "telephone_number": "218-583-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DOUGLAS AVE",
            "city": "HENNING",
            "state": "MN",
            "postal_code": "565514026",
            "telephone_number": "218-583-2953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Deerwood Ave NW",
            "address_purpose": "LOCATION",
            "city": "Wadena",
            "state": "MN",
            "postal_code": "564821253",
            "country_code": "US",
            "telephone_number": "218-631-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JESSICA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astera Health (Astera Health Henning Clinic)
• Janelle R Beddow Van Erp
• Michael R Berglund, DDS
• City of Henning (Henning Ambulance Service)
• Lisa Marie Cordes, PTA

• Physician Assistant in Henning, MN
• Providers in Henning, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.