Jennifer L Anderson, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

85002115 Issued in IL

Practice address

520 Valley View Dr
Moline, IL 61265-6152

Phone

(309) 762-3621

Fax

(309) 762-3690

NPI assigned

Jul 28, 2006

Last updated

Sep 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jennifer L Anderson Former name

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

Ora Orthopedics PCGroup PAC ID 6406741784, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
• Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wilsonj@ora2099.srs-direct.com

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.

• Ora Orthopedics PC

  • Orthopaedic Surgery Physician
  • Moline, IL
  • NPI 1962481861

  IA

  Medicare reassignment Care Compare group
• Ora Orthopedics PC

  dba ORA Orthopedics Physical Therapy

  • Physical Therapist
  • Rock Island, IL
  • NPI 1508645680
  NPD
• Ora Orthopedics, PC

  • Orthopaedic Surgery Physician
  • De Witt, IA
  • NPI 1043281355
  NPD
• Advanced Radiology, S.C.

  • Diagnostic Radiology Physician
  • Rock Island, IL
  • NPI 1790773539
  NPD (past)
• Ora Orthopedics PC

  • Orthopaedic Surgery Physician
  • Geneseo, IL
  • NPI 1023089323

  Physician Assistant

  NPD (past)
• Ora Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Durant, IA
  • NPI 1639159700
  NPD (past)

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

• Genesis Health System

  dba Genesis Medical Center - Silvis

  • General Acute Care Hospital
  • Silvis, IL
  • NPI 1427132604
  Care Compare affiliation
• Trinity Medical Center

  dba Trinity Rock Island

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632
  Care Compare affiliation

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1861406431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 COMPETITION DR STE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527228837",
            "telephone_number": "563-322-0971",
            "fax_number": "563-324-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656152",
            "telephone_number": "309-762-3621",
            "fax_number": "309-762-3690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5250 Competition Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527228837",
            "country_code": "US",
            "telephone_number": "563-322-0971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "85002115",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ANDERSON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia L Anderson-Dobroski
• Maria Anderson-Dooley, D.C.
• Brian D Anderson, DO
• Elizabeth Anderson, MA
• Jane Anderson, PA-C
• Kristin Anderson, ARNP
• Kristina Love Anderson, DOULA
• Richard John Anderson, MD
• Robert O Anderson, PT
• Vanessa Adele Anderson, DC

• Physician Assistant in Moline, IL
• Providers in Moline, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.