Sydney Anderson, DNP
Individual provider Active NPI Nurse Practitioner · Ottumwa, IA
NPI 1720635642 · NPPES record last updated Oct 3, 2019
Key facts
- NPI
- 1720635642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- A154992 (IA)
- Practice address
- 1005 Pennsylvania Ave Ste 207
Ottumwa, IA 52501-6414 - Phone
- (641) 682-5349
- Fax
- (515) 246-4474
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Catholic Health Initiatives-Iowa Corp
Monroe County Hospital
Practice addresses (Care Compare)
1005 Pennsylvania Ave
Suite 207
Ottumwa, IA 52501-6414
Phone (641) 682-5349
1816 Philadelphia St
Ames, IA 50010-8771
Phone (515) 232-2500
404 Jefferson St
Pella, IA 50219-1257
Phone (641) 628-3150
6580 165TH St
Albia, IA 52531-8793
Phone (641) 932-2134
6582 165TH St
Albia, IA 52531-8793
Hospital & facility affiliations
- Pella Regional Health Center
- Monroe County Hospital
- Mercyone Centerville Medical Center
- Mercyone Des Moines Medical Center
- Davis County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 |
|---|---|---|---|---|
| I20191114002371 | IA | Practitioner - Nurse Practitioner | 7113359027 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A154992 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe County Hospital | Nurse Practitioner | Current | Accepting new patients |
| Monroe County Hospital | Nurse Practitioner | Current |
Accepting new patients |
| Catholic Health Initiatives-Iowa Corp | Nurse Practitioner | Current |
Accepting new patients |
| Catholic Health Initiatives-Iowa Corp | Current |
Accepting new patients | |
| Monroe County Hospital | Current | Accepting new patients | |
| Iowa Heart Center PC | Past | Accepting new patients |
Locations
6580 165th St
Albia, IA 52531
Phone (641) 932-1756
1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
1005 Pennsylvania Ave
Ste 207
Ottumwa, IA 52501
Phone (515) 682-2514
Interoperability endpoints
- sydney.anderson.p1@direct.iowaheart.nextgenshare.com
- sanderson3938467@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A154992 | IA | Yes |
Addresses
Primary practice location
1005 Pennsylvania Ave Ste 207
Ottumwa, IA 52501-6414
Mailing address
PO Box 9170
Des Moines, IA 50306-9170
Phone (515) 633-3600
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 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.