Andrew Anderson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704297360 Issued in MI

Practice address

208 Michigan Ave
Gladstone, MI 49837-1914

Phone

(906) 241-7436

NPI assigned

Jun 23, 2020

Last updated

Jun 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MI

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

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schoolcraft Memorial HospitalGroup PAC ID 4082525118, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Schoolcraft Memorial Homecare and Hospice Home health agency, Manistique, MI, CCN 237279
• North Woods Home Nursing Home health agency, Manistique, MI, CCN 237182
• Schoolcraft Memorial Hospital Hospital, Manistique, MI, CCN 231303
• Helen Newberry Joy Hospital Hospital, Newberry, MI, CCN 231304

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/71812193-7aa5-42d8-ba4c-ee45e2ea853f/

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.

• Schoolcraft Memorial Hospital

  • Critical Access Hospital
  • Manistique, MI
  • NPI 1700805157
  Medicare reassignment Care Compare group NPD
• Helen Newberry Joy Hospital & Healthcare Center

  dba Paradise Community Health Center

  • Rural Health Clinic/Center
  • Paradise, MI
  • NPI 1811044886
  NPD (past)
• Schoolcraft Memorial Hospital

  dba Schoolcraft Memorial HomeCare and Hospice

  • Home Health Agency
  • Manistique, MI
  • NPI 1447256276
  NPD (past)

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

• Helen Newberry Joy Hospital & Healthcare Center

  • Critical Access Hospital
  • Newberry, MI
  • NPI 1497742050
  Care Compare affiliation
• North Woods Home Nursing

  • Home Health Agency
  • Manistique, MI
  • NPI 1659379097
  Care Compare affiliation
• Schoolcraft Memorial Hospital

  dba Schoolcraft Memorial HomeCare and Hospice

  • Home Health Agency
  • Manistique, MI
  • NPI 1447256276
  Care Compare affiliation
• Schoolcraft Memorial Hospital

  • Critical Access Hospital
  • Manistique, MI
  • NPI 1700805157
  Care Compare affiliation

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1780200022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MICHIGAN AVE",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498371914",
            "telephone_number": "906-241-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MICHIGAN AVE",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498371914",
            "telephone_number": "906-241-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704297360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adult Family & Group Counseling PLLC
• Martha Alling
• Michael John Ballard, DDS
• Richard Blakeslee Ballard, D.D.S.
• Bay de Noc Chiropractic Center, P.C.
• Beacon Specialized Living Services
• Bellin Health Iron Mountain Inc (Bellin Health Gladstone)

• Family Nurse Practitioner in Gladstone, MI
• Providers in Gladstone, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.