Marysa Carolyne Anderson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

807795 Issued in MN

Practice address

100 Glen St SW
Hutchinson, MN 55350-2428

Phone

(320) 234-2734

NPI assigned

Apr 8, 2026

Last updated

Apr 8, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1982546917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GLEN ST SW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553502428",
            "telephone_number": "320-234-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLEN ST SW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553502428",
            "telephone_number": "320-234-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARYSA",
        "middle_name": "CAROLYNE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "807795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Jo Altmann, RN
• Matthew Aaron Alvey, PHARMD, RPH
• Andrea Gene Anderson, RN, BSN
• Kirsten Anderson
• Mary E Anderson, MA, LAMFT
• Randy David Anderson, DC
• Shawna Anderson, PTA
• Andrew J Larson Counseling Services (NorthStar Counseling Center)
• Megan Nicole Appleton, L.A.D.C.
• Lynn Artibee, CNM

• Licensed Practical Nurse in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.