Keri Ann Anderson, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

11364 Issued in MN

Practice address

111 17TH Ave E
Alexandria, MN 56308-5273

Phone

(320) 762-1511

Fax

(320) 762-6120

NPI assigned

Jul 22, 2013

Last updated

Jun 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Physician Assistant

Education

University of North Dakota School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altru Health SystemGroup PAC ID 1355251604, shared by 14 NPIs, 675 clinicians

Lifecare Medical CenterGroup PAC ID 4789586884, shared by 9 NPIs, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prairie Ridge Hospital and Health Services Hospital, Elbow Lake, MN, CCN 241379
• Lifecare Medical Center Hospital, Roseau, MN, CCN 241344

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3442/brand/1/csg/61/fhir/r4
• Direct secure messaging: kanderson389890@direct.centracare.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.

• Lake Region Healthcare Corporation

  dba Lake Region Healthcare

  • Critical Access Hospital
  • Elbow Lake, MN
  • NPI 1407838329
  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Clinic Tracy

  • Family Medicine Physician
  • Tracy, MN
  • NPI 1699869875
  Medicare reassignment
• Select Urgent Care LLC

  • Clinic/Center
  • Baxter, MN
  • NPI 1952063158
  Medicare reassignment
• Stevens Community Medical Center Inc.

  dba Starbuck Clinic

  • Clinic/Center
  • Starbuck, MN
  • NPI 1417105552
  Medicare reassignment
• Unity Family Healthcare

  dba Little Falls Orthopedics

  • Orthopaedic Surgery Physician
  • Little Falls, MN
  • NPI 1326234006
  Medicare reassignment
• Lake Region Healthcare Corporation

  dba Lake Region Healthcare

  • Critical Access Hospital
  • Fergus Falls, MN
  • NPI 1285525436
  NPD
• Lake Region Healthcare Corporation

  dba Lake Region Healthcare

  • Durable Medical Equipment & Medical Supplies
  • Fergus Falls, MN
  • NPI 1942191119
  NPD
• Sanford Health Network

  dba Sanford Clinic Jackson

  • Rural Health Clinic/Center
  • Jackson, MN
  • NPI 1083638357
  NPD
• Sanford Health Network

  dba Sanford Clinic Canby

  • Rural Health Clinic/Center
  • Canby, MN
  • NPI 1437243607
  NPD
• Sanford Health Network

  dba Sanford Clinic Mountain Lake

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD
• Stevens Community Medical Center Inc

  • Critical Access Hospital
  • Morris, MN
  • NPI 1487678942
  NPD
• Stevens Community Medical Center Inc

  dba Stevens Community Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Morris, MN
  • NPI 1649705690
  NPD

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

• Lake Region Healthcare Corporation

  dba Lake Region Healthcare

  • Critical Access Hospital
  • Fergus Falls, MN
  • NPI 1285525436
  Care Compare affiliation
• Lake Region Healthcare Corporation

  dba Lake Region Healthcare

  • Critical Access Hospital
  • Elbow Lake, MN
  • NPI 1407838329
  Care Compare affiliation
• Lifecare Medical Center

  • Critical Access Hospital
  • Roseau, MN
  • NPI 1609861095
  Care Compare affiliation

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1992147797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 17TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-762-1511",
            "fax_number": "320-762-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 17TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085273",
            "telephone_number": "320-762-1511",
            "fax_number": "320-762-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KERI",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "11364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992147797",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Ross Anderson, MD
• Jeremy R Anderson, OD
• Jodi Lynn Anderson, ATC
• Julie A Anderson, CNP
• Kayla Ann Anderson
• Kristi Anderson, RPH
• Leanne J Anderson, D.O.
• Roxanne Marie Anderson, PHD
• Sheryl Anderson
• Todd Gregory Anderson, D.D.S.

• Medical Physician Assistant in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Medical Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.