VIVIAN ANDERSON
NPI 1063144210
Nurse Anesthetist, Certified Registered in West Burlington, IA
About Vivian Anderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVIAN ANDERSON (NPI 1063144210) is an individual nurse anesthetist, certified registered in West Burlington, Iowa, licensed in Iowa (D171117) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Vivian Anderson 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.
Medicare Billing Reassignment
Medicare enrollment records show Vivian Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Madison, IA 52627
- Reassigned Medicare billing, Iowa enrollment
- 24 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southeast Iowa Regional Medical Center
Acute Care Hospitals · West Burlington, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 52655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST BURLINGTON, IA 52655
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 Vivian Anderson's NPI number?
The NPI number for Vivian Anderson is 1063144210. It was assigned to this individual provider in the NPPES registry on June 27, 2022.
Where is Vivian Anderson located?
Vivian Anderson practices at 1221 S Gear Ave, West Burlington, IA 52655. The listed phone number is (319) 768-1000.
What is Vivian Anderson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Vivian Anderson enrolled in Medicare?
Yes. Vivian 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.
Which organization bills Medicare for Vivian Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Anderson reassigns Medicare benefits to Green Anesthesia Iowa PLLC (Fort Madison, IA). 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 Vivian Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vivian Anderson accept?
Health plans from Wellmark Health Plan of Iowa, Inc. list Vivian 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 Vivian Anderson affiliated with any hospitals?
According to CMS data, Vivian Anderson is affiliated with Southeast Iowa Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Vivian Anderson was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Vivian Anderson · NPI 1063144210
Nurse Anesthetist, Certified Registered physician in West Burlington, Iowa. Individual provider, active in the CMS NPPES registry since June 27, 2022.
## Identity
- **NPI:** 1063144210 (Entity type: Individual)
- **Enumerated:** June 27, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** D171117 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 1221 S GEAR AVE, West Burlington, IA 52655-1679
- **Phone:** (319) 768-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Green Anesthesia Iowa PLLC (NPI 1649143157, Fort Madison, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063144210) · Data from the CMS NPPES public registry.