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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SHELLY L ANDERSON M.D.
NPI 1073594966
Family Medicine in Plymouth, MN

Active since November 08, 2005PECOS Enrolled
1495 HWY 101 NORTH, PLYMOUTH, MN 55447(763) 476-6776 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shelly L Anderson M.d. NPPES

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

DR. SHELLY L ANDERSON M.D. (NPI 1073594966) is an individual family medicine provider in Plymouth, Minnesota, licensed in Minnesota (33473) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073594966
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHELLY L ANDERSONCredential: M.D.
Location Address1495 HWY 101 NORTHPlymouth, MN 55447
Mailing Address5502 W Broadway Ave, Suite 200Crystal, MN 55428-3508 · (763) 287-6500 · Fax (763) 287-6544
Phone(763) 476-6776
Sole ProprietorNo
Enumeration DateNovember 8, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1073594966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 33473
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1495 HWY 101 NORTH, Plymouth, MN 55447
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shelly L Anderson M.d. 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 55447 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 Shelly Anderson's NPI number?

The NPI number for Shelly Anderson is 1073594966. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Shelly Anderson located?

Shelly Anderson practices at 1495 Hwy 101 North, Plymouth, MN 55447. The listed phone number is (763) 476-6776.

What is Shelly Anderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shelly Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shelly Anderson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.