Active NPI
Debra Ann Anderson, PHD, FNP-C, FNP-BC
- Family Nurse Practitioner
- West Sacramento, CA
National Provider Identifier
1720882582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95038525
- Practice address
- 2101 Stone Blvd
West Sacramento, CA 95691-4044 - Phone
- (916) 371-4939
- NPI assigned
- Apr 2, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95038525 | CA | Primary |
Addresses
Primary practice location
2101 Stone Blvd
West Sacramento, CA 95691-4044
Mailing address
PO Box 255433
Sacramento, CA 95865-5433
Phone (703) 786-1661
Other names 1
- Prof. Debra Ann Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5125 Northshore Dr
N Little Rock, AR 72118-5315
PO Box
Suite 255433
Sacramento, CA 95865
PO Box
Suite 255433
Sacramento, CA 95865-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Sacramento, CA
- NPI 1417020579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1720882582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255433",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655433",
"telephone_number": "703-786-1661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 STONE BLVD",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "956914044",
"telephone_number": "916-371-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DEBRA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHD, FNP-C, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-02",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95038525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "ANDERSON",
"middle_name": "ANN",
"prefix": "PROF.",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in West Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.