Kerri Helen Anderson, APRN
Individual provider Active NPI Family Nurse Practitioner · East Granby, CT
NPI 1992267660 · NPPES record last updated Apr 2, 2019
Key facts
- NPI
- 1992267660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 8129 (CT)
- Practice address
- 13 Church Rd
East Granby, CT 06026-9406 - Phone
- (860) 653-4526
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Granby Family Practice LLC
McLean Fund
Practice addresses (Care Compare)
13 Church Rd
East Granby, CT 06026-9406
Phone (860) 653-4526
75 Great Pond Rd
Simsbury, CT 06070-1980
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|---|
| I20210421001981 | CT | Practitioner - Nurse Practitioner | 0042628596 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8129 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Granby Family Practice LLC | Family | Current |
Accepting new patients |
Locations
13 Church Rd
East Granby, CT 06026
Phone (860) 653-4526
Interoperability endpoints
- kerri.anderson.1@28841.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8129 | CT | Yes |
Addresses
Primary practice location
13 Church Rd
East Granby, CT 06026-9406
Mailing address
PO Box 194
Canton Center, CT 06020-0194
Phone (860) 810-4295
Other providers in East Granby, CT
- Susan Moffatt Agnes
- Bridget Alfone
- Alston Clinical Private Practice PLLC
- Vickie B Alston
- Anchor Eye Center LLC
- Kathleen J Armata
- Nancy Brown
- Calm Within Counseling LLC
- Jeannie M Crabtree
- Elizabeth Jean Davis
All providers in East Granby, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2019. 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.