Active NPI
Kristen Elizabeth Anderson, PA-C
- Physician Assistant
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C5-0000611
- Practice address
- 793 S Queen St
Dover, DE 19904-3568 - Phone
- (302) 744-9310
- Fax
- (302) 744-9312
- NPI assigned
- Jan 31, 2008
- Last updated
- Jul 26, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C5-0000611 | DE | Primary |
Addresses
Primary practice location
793 S Queen St
Dover, DE 19904-3568
Mailing address
640 S. State Street
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 480-1688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- 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
- Physician Assistant
- Education
- Drexel University College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Banning St
Suite 340
Dover, DE 19904-3490
Phone (302) 734-1414
640 S State St
Dover, DE 19901-3530
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0000611 | DE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Past | Accepting new patients | |
| Delaware Heart & Vascular, P.a. | Past | Accepting new patients |
Locations
200 Banning St
Ste 340
Dover, DE 19904
Phone (302) 734-1414
560 S Governors Ave
Dover, DE 19904
Phone (302) 310-8484
640 S State St
Dover, DE 19901
Phone (302) 744-4700
640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688
793 S Queen St
Dover, DE 19904
Phone (302) 674-4401
21 W Clarke Ave
Milford, DE 19963
Phone (302) 422-3311
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 Bayhealth Cardiology Physicians, Kent Campus
- Cardiovascular Disease Physician
- Dover, DE
- NPI 1417473935
-
dba Bayhealth Physicians
- Colon & Rectal Surgery Physician
- Dover, DE
- NPI 1285809509
-
- Gastroenterology Physician
- Milford, DE
- NPI 1639938525
-
- Orthopaedic Surgery Physician
- Dover, DE
- NPI 1912766858
-
- Cardiovascular Disease Physician
- Dover, DE
- NPI 1558300426
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayhealth Hospital, Sussex Campus
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
dba Bayhealth Hospital, Kent Campus
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
dba UM Shore Medical Center at Dorchester
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
dba UM Shore Medical Center at Easton
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1780862706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S. STATE STREET",
"address_2": "MAIL CODE 3055",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-480-1688",
"fax_number": "302-480-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "793 S QUEEN ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199043568",
"telephone_number": "302-744-9310",
"fax_number": "302-744-9312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KRISTEN",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-31",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-0000611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.