Mitchell Anderson, PA-C
Individual provider Active NPI Physician Assistant · Jamestown, NY
NPI 1871423947 · NPPES record last updated May 21, 2026
Key facts
- NPI
- 1871423947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 59 Spruce St
Jamestown, NY 14701-3107 - Phone
- (716) 338-7400
- NPI assigned
- May 21, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
59 Spruce St
Jamestown, NY 14701-3107
Mailing address
59 Spruce St
Jamestown, NY 14701-3107
Phone (716) 338-7400
Other providers in Jamestown, NY
- Cynthia R Anderson
- Elle Anderson
- Jesse Anderson
- Judith M Anderson
- Maureen Anderson
- Nancy Ann Anderson
- Olivia M Anderson
- Rachel Anderson
- Sandra Lee Anderson
- Valerie Katherine Anderson
All providers in Jamestown, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.