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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 EnrolledAccepts Medicare Assignment
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: July 26, 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 and is a graduate of Other (2012).

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
Medical School CMSOtherGraduated 2012
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 Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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

Willard Marvin Anderson Iii Pmhnp 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 ID7618120965
PECOS Enrollment IDI20130117000006
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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Willard Anderson accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida 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 with the weekly NPPES data releases published by CMS.