KAYLA JEAN ANDERSON CPNP-PC
NPI 1073398525
Nurse Practitioner - Family in Macomb, IL

Active since August 31, 2023PECOS EnrolledAccepts Medicare Assignment
505 E GRANT ST STE 110, MACOMB, IL 61455(309) 833-1733 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2025, Sep 15, 2025, Aug 31, 2023 (3 updates tracked since 2023).

About Kayla Jean Anderson Cpnp-pc NPPES

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

KAYLA JEAN ANDERSON CPNP-PC (NPI 1073398525) is an individual family provider in Macomb, Illinois, licensed in Illinois (209027939) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Mc Donough District Hospital, and maintains a secondary practice location in Beardstown.

NPPES Registry Identity

NPI1073398525
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAYLA JEAN ANDERSONCredential: CPNP-PC
Location Address505 E GRANT ST STE 110Macomb, IL 61455-3308
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 31, 2023
Last NPPES UpdateNovember 7, 20253 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
NPI 1073398525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209027939
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 209027939 (ID)
505 E GRANT ST STE 110, Macomb, IL 61455

Other Names 1

Former Name (1)Kayla Jean Kotter

Secondary Practice Location 1

Location 18590 Saint Lukes DrBeardstown, IL 62618-8398 · Phone (217) 323-2242

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

Kayla Jean Anderson Cpnp-pc 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 ID3476067513
PECOS Enrollment IDI20250709003741
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number140089
Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61455 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
505 E GRANT ST STE 110
MACOMB, IL 61455
Internal Medicine
505 E GRANT ST STE 110
MACOMB, IL 61455
Family Medicine
505 E GRANT ST STE 110
MACOMB, IL 61455
Physical Therapist
505 E GRANT ST STE 110
MACOMB, IL 61455
Clinic/Center (Rural Health)
505 E GRANT ST STE 110
MACOMB, IL 61455
Physical Therapist
505 E GRANT ST STE 110
MACOMB, IL 61455

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 Kayla Anderson's NPI number?

The NPI number for Kayla Anderson is 1073398525. It was assigned to this individual provider in the NPPES registry on August 31, 2023. The provider is also known as Kayla Jean Kotter.

Where is Kayla Anderson located?

Kayla Anderson practices at 505 E Grant St Ste 110, Macomb, IL 61455. The listed phone number is (309) 833-1733.

What is Kayla Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kayla Anderson enrolled in Medicare?

Yes. Kayla 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.

Is Kayla Anderson affiliated with any hospitals?

According to CMS data, Kayla Anderson is affiliated with Mc Donough District Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Kayla Anderson was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.