KRISTIAN ANDERSON AGACNP-BC
NPI 1053195099
Nurse Practitioner - Critical Care Medicine in Hartland, WI
About Kristian Anderson Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIAN ANDERSON AGACNP-BC (NPI 1053195099) is an individual critical care medicine provider in Hartland, Wisconsin, licensed in Wisconsin (14649-33) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristian Anderson Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristian Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Pleasant, WI 53405
- Reassigned Medicare billing, Wisconsin enrollment
- 72 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kristian Anderson's NPI number?
The NPI number for Kristian Anderson is 1053195099. It was assigned to this individual provider in the NPPES registry on August 21, 2023.
Where is Kristian Anderson located?
Kristian Anderson practices at 401 E Industrial Dr Unit 627, Hartland, WI 53029. The listed phone number is (414) 850-7586.
What is Kristian Anderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.
Is Kristian Anderson enrolled in Medicare?
Yes. Kristian Anderson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristian Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristian Anderson reassigns Medicare benefits to Midwest Critical Care Sc (Mount Pleasant, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristian Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristian Anderson was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kristian Anderson, AGACNP-BC · NPI 1053195099
Critical Care Medicine physician in Hartland, Wisconsin. Individual provider, active in the CMS NPPES registry since August 21, 2023.
## Identity
- **NPI:** 1053195099 (Entity type: Individual)
- **Enumerated:** August 21, 2023
- **Primary specialty:** Nurse Practitioner - Critical Care Medicine · taxonomy 363LC0200X
- **State license:** 14649-33 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 401 E INDUSTRIAL DR UNIT 627, Hartland, WI 53029-0820
- **Phone:** (414) 850-7586
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Midwest Critical Care Sc (NPI 1093425647, Mount Pleasant, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1053195099) · Data from the CMS NPPES public registry.