Sumer Dawn Anderson, PMHNP-BC DNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Sandy, UT
NPI 1992071559 · NPPES record last updated Mar 12, 2021
Key facts
- NPI
- 1992071559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 81726588900 (UT)
- Practice address
- 45 W Sego Lily Dr Ste 312
Sandy, UT 84070-3643 - Phone
- (801) 676-9452
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Anderson Wellness Group LLC
Practice addresses (Care Compare)
45 W Sego Lily Dr
Suite 312
Sandy, UT 84070-3643
Phone (801) 676-9452
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- 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 |
|---|---|---|---|---|
| I20190301000042 | UT | Practitioner - Nurse Practitioner | 3678812047 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81726588900 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Wellness Group LLC | Current | Accepting new patients | |
| Anderson Wellness Group LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
9533 S 700 E
Ste 203
Sandy, UT 84070
Phone (801) 792-1034
45 W Sego Lily Dr
Ste 312
Sandy, UT 84070
Phone (801) 676-9452
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 8172658-3102 | UT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 81726588900 | UT | Yes |
Addresses
Primary practice location
45 W Sego Lily Dr Ste 312
Sandy, UT 84070-3643
Mailing address
45 W Sego Lily Dr Ste 312
Sandy, UT 84070-3643
Phone (801) 676-9452
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | andersonwellness.com | Direct |
Other providers in Sandy, UT
- McKenzie Anderson
- Patricia Lynn Anderson
- Perrine Johnson Anderson
- Robert J Anderson
- Scott Lewis Anderson
- Andes Multiservices LLC
- Andrews Counseling
- Anthony S Gordon, MDPC
- Anywhere Care
- Aperture Medical LLC
All providers in Sandy, UT · Psychiatric/Mental Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2021. 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.