KELLY MANKIN ANDERSON AUD
NPI 1083234710
Audiologist in Bend, OR
About Kelly Mankin Anderson Aud NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY MANKIN ANDERSON AUD (NPI 1083234710) is an individual audiologist in Bend, Oregon, licensed in Oregon (030899) and active in the NPI registry since April 2020. She is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Mankin Anderson Aud 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bend, OR 97703
- Reassigned Medicare billing, Oregon enrollment
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 97703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Anderson's NPI number?
The NPI number for Kelly Anderson is 1083234710. It was assigned to this individual provider in the NPPES registry on April 22, 2020.
Where is Kelly Anderson located?
Kelly Anderson practices at 780 NW York Dr Ste 102, Bend, OR 97703. The listed phone number is (541) 280-7548.
What is Kelly Anderson's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Kelly Anderson enrolled in Medicare?
Yes. Kelly 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.
Which organization bills Medicare for Kelly Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Anderson reassigns Medicare benefits to Ekho Audiology LLC (Bend, OR). 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 Kelly Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Anderson accept?
Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelly 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 Kelly Anderson was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kelly Mankin Anderson, AUD · NPI 1083234710
Audiologist provider in Bend, Oregon. Individual provider, active in the CMS NPPES registry since April 22, 2020.
## Identity
- **NPI:** 1083234710 (Entity type: Individual)
- **Enumerated:** April 22, 2020
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** 030899 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 780 NW YORK DR STE 102, Bend, OR 97703-1054
- **Phone:** (541) 280-7548 · **Fax:** (541) 904-8378
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Ekho Audiology LLC (NPI 1760250294, Bend, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** October 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083234710) · Data from the CMS NPPES public registry.