BENJAMIN ALGREN ANDERSON PA-C
NPI 1063176964
Physician Assistant in Daytona Beach, FL

Active since October 26, 2021PECOS Enrolled
222 S PENINSULA DR, DAYTONA BEACH, FL 32118(386) 310-2160(386) 310-2106 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Algren Anderson Pa-c NPPES

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

BENJAMIN ALGREN ANDERSON PA-C (NPI 1063176964) is an individual physician assistant in Daytona Beach, Florida, licensed in Florida (PA9115164) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063176964
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENJAMIN ALGREN ANDERSONCredential: PA-C
Location Address222 S PENINSULA DRDaytona Beach, FL 32118-4422
Mailing Address222 S Peninsula DrDaytona Beach, FL 32118-4422 · (386) 310-2160 · Fax (386) 310-2106
Fax(386) 310-2106
Sole ProprietorNo
Enumeration DateOctober 26, 2021
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
NPI 1063176964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9115164
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
222 S PENINSULA DR, Daytona Beach, FL 32118

Other Identifiers 1

OtherPA9115164FL · Pa-c License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Benjamin Algren Anderson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Physician Assistant
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Internal Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Physician Assistant
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118

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 Benjamin Anderson's NPI number?

The NPI number for Benjamin Anderson is 1063176964. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Benjamin Anderson located?

Benjamin Anderson practices at 222 S Peninsula Dr, Daytona Beach, FL 32118. The listed phone number is (386) 310-2160.

What is Benjamin Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Benjamin Anderson enrolled in Medicare?

Yes. Benjamin Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Anderson was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.