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JORDAN LILLIAN ANDERSON PA-C
NPI 1053066399
Physician Assistant - Surgical in Maple Grove, MN

Active since February 15, 2022PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
10150 NIAGARA LN N # 100, MAPLE GROVE, MN 55369(224) 213-5886 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 21, 2023, Apr 26, 2022, Feb 15, 2022 (3 updates tracked since 2022).

About Jordan Lillian Anderson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN LILLIAN ANDERSON PA-C (NPI 1053066399) is an individual surgical provider in Maple Grove, Minnesota, licensed in Minnesota (14483) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053066399
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJORDAN LILLIAN ANDERSONCredential: PA-C
Location Address10150 NIAGARA LN N # 100Maple Grove, MN 55369-7588
Mailing Address10150 Niagara Ln N # 100Maple Grove, MN 55369-7588 · (224) 213-5886
Phone(224) 213-5886
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 15, 2022
Last NPPES UpdateJune 21, 20233 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1053066399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MN · 14483
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA15644 (TX)
10150 NIAGARA LN N # 100, Maple Grove, MN 55369
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Lillian Anderson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193112431
PECOS Enrollment IDI20230613002208
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
67 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services37 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
53 services17 patients
Magnesium level 83735
A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.
38 services16 patients
Immunologic analysis for detection of tumor antigen, quantitative; ca 125 86304
This test checks for CA 125, a protein often found in higher amounts in individuals with certain types of tumors. It involves analyzing a blood sample in a lab. It's a quantitative test, meaning it measures the level of CA 125 in your blood.
38 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
33 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY NJORA KARIUKI NP
Nurse Practitioner (Adult Health)
10150 NIAGARA LN N # 100
MAPLE GROVE, MN 55369
Hennepin County (763) 712-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Anderson's NPI number?

The NPI number for Jordan Anderson is 1053066399. It was assigned to this individual provider in the NPPES registry on February 15, 2022.

Where is Jordan Anderson located?

Jordan Anderson practices at 10150 Niagara Ln N # 100, Maple Grove, MN 55369. The listed phone number is (224) 213-5886.

What is Jordan Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jordan Anderson enrolled in Medicare?

Yes. Jordan Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jordan Anderson accept?

Health plans from HealthPartners and Medica list Jordan Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jordan Anderson affiliated with any hospitals?

According to CMS data, Jordan Anderson is affiliated with Abbott Northwestern Hospital and Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Anderson was last updated on June 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.