Active NPI
Adina-Maria Anderson, DPM
- Podiatrist
- Iron Mountain, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 5901002125
- Practice address
- 225 W H St
Iron Mountain, MI 49801-4608 - Phone
- (906) 776-5940
- Fax
- (906) 779-2586
- NPI assigned
- May 27, 2006
- Last updated
- Jan 12, 2023
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5901002125 | MI | Primary |
Addresses
Primary practice location
225 W H St
Iron Mountain, MI 49801-4608
Mailing address
PO Box 549
Iron Mountain, MI 49801-0549
Phone (906) 774-1313
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5220021 | Other | MI | BCBS OF MI |
| 43241400 | Medicaid | WI | |
| 4881074 | Medicaid | MI | |
| P00958672 | Other | MI | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313
Hospital & facility affiliations
- Marshfield Medical Center
- Dickinson County Memorial Hospital
- Aspirus Iron River Hospital & Clinics, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 57 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 251 |
| Removal or shaving of skin growth | 60 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Dickinson County Healthcare System | Current | Accepting new patients | |
| Dickinson County Healthcare System | Current | Accepting new patients | |
| Great Lakes Podiatry PLLC | Past | Accepting new patients | |
| Great Lakes Podiatry PLLC | Podiatrist | Past | Accepting new patients |
Locations
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
225 W H St
Iron Mountain, MI 49801
Phone (906) 776-5930
Interoperability endpoints
- adina-maria.anderson.1@22710.direct.athenahealth.com
- adina-maria.anderson@marshfieldclinichealthsystem.cernerdirect.com
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 5
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 Marshfield Medical Center - Dickinson Professional Services
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
- NPI 1891751186
-
dba Marshfield Medical Center - Dickinson Norway Center
- Rural Health Clinic/Center
- Norway, MI
- NPI 1740504943
-
- Durable Medical Equipment & Medical Supplies
- Escanaba, MI
- NPI 1043728553
-
- Podiatrist
- Escanaba, MI
- NPI 1225079932
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aspirus Iron River Clinic
- Multi-Specialty Clinic/Center
- Iron River, MI
- NPI 1457865198
Hospital
-
dba Aspirus Iron River Hospital
- Critical Access Hospital
- Iron River, MI
- NPI 1497750830
-
dba Marshfield Medical Center - Dickinson
- Critical Access Hospital
- Iron Mountain, MI
- NPI 1841188604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1730136672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 549",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498010549",
"telephone_number": "906-774-1313",
"fax_number": "906-776-5639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W H ST",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498014608",
"telephone_number": "906-776-5940",
"fax_number": "906-779-2586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ADINA-MARIA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901002125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "5220021",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43241400",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4881074",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00958672",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "225 W H St",
"city": "Iron Mountain",
"state": "MI",
"country_code": "US",
"postal_code": "498014608",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Iron Mountain, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.