Paul W Anderson, APRN
Individual provider Active NPI Nurse Practitioner · Topeka, KS
NPI 1821985227 · NPPES record last updated Jun 9, 2026
Key facts
- NPI
- 1821985227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 53-84484-032 (KS)
- Practice address
- 1500 SW 10TH Ave
Topeka, KS 66604-1301 - Phone
- (785) 354-6000
- Fax
- (785) 354-5004
- NPI assigned
- Jun 19, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cotton-O'Neil Clinic Revocable Trust
Practice addresses (Care Compare)
1500 SW 10H Ave
Topeka, KS 66604-1301
Phone (785) 354-6000
901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591
Hospital & facility affiliations
- Stormont Vail Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- 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 |
|---|---|---|---|---|
| I20250708003433 | KS | Practitioner - Nurse Practitioner | 4587178983 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-150759 | KS | MD | Registered Nurse |
| 53-84484-032 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cotton-O'Neil Clinic Revocable Trust | Current |
Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Current |
Accepting new patients |
Locations
2660 SW 3rd St
Topeka, KS 66606
Phone (785) 270-8880
901 SW Garfield Ave
Topeka, KS 66606
1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242
Interoperability endpoints
- panderson40626@stormontvaildirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 13-150759 | KS | |
| Nurse Practitioner | 363L00000X | 53-84484-032 | KS | Yes |
Addresses
Primary practice location
1500 SW 10TH Ave
Topeka, KS 66604-1301
Mailing address
1500 SW 10TH Ave
Topeka, KS 66604-1301
Phone (785) 354-6000
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2026. 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.