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WILLARD MARVIN ANDERSON III PMHNP
NPI 1063756211
Nurse Practitioner - Psychiatric/Mental Health in Panama City, FL

Active since November 11, 2012PECOS Enrolled
459 GRACE AVE STE 100, PANAMA CITY, FL 32401(615) 568-5529 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2023, Dec 15, 2020 (2 updates tracked since 2020).

About Willard Marvin Anderson Iii Pmhnp NPPES

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

WILLARD MARVIN ANDERSON III PMHNP (NPI 1063756211) is an individual psychiatric/mental health provider in Panama City, Florida, licensed in Florida (9348879) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063756211
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameWILLARD MARVIN ANDERSON IIICredential: PMHNP
Location Address459 GRACE AVE STE 100Panama City, FL 32401-2757
Mailing Address1956 Barker Camp RdDunlap, TN 37327-5939 · (615) 568-5529 · Fax (850) 681-6003
Phone(615) 568-5529
Sole ProprietorNo
Enumeration DateNovember 11, 2012
Last NPPES UpdateJuly 28, 20232 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
✔ NPI 1063756211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 9348879
459 GRACE AVE STE 100, Panama City, FL 32401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willard Marvin Anderson Iii Pmhnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Willard Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
450 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 32401 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Willard Anderson's NPI number?

The NPI number for Willard Anderson is 1063756211. It was assigned to this individual provider in the NPPES registry on November 11, 2012.

Where is Willard Anderson located?

Willard Anderson practices at 459 Grace Ave Ste 100, Panama City, FL 32401. The listed phone number is (615) 568-5529.

What is Willard Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Willard Anderson enrolled in Medicare?

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

Which organization bills Medicare for Willard Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willard Anderson reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Willard Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Willard Anderson accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Willard 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.

When was this NPI record last updated?

The NPPES record for Willard Anderson was last updated on July 28, 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.