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KATIE L. ANDERSON PA
NPI 1104195833
Physician Assistant in Plainfield, CT

Active since December 27, 2011Opted out of Medicare · through Jul 1, 2028
1421 LOWES WAY, PLAINFIELD, CT 06374(860) 317-4000(860) 317-4030 Get Directions Write a Review

NPPES record last updated: November 3, 2017. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Nov 3, 2017, May 16, 2017, Jan 14, 2016 (3 updates tracked since 2016).

About Katie L. Anderson Pa NPPES

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

KATIE L. ANDERSON PA (NPI 1104195833) is an individual physician assistant in Plainfield, Connecticut, licensed in Connecticut (3930) and active in the NPI registry since December 2011. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104195833
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIE L. ANDERSONCredential: PA
Location Address1421 LOWES WAYPlainfield, CT 06374-1963
Mailing Address1421 Lowes WayPlainfield, CT 06374-1963 · (860) 317-4000 · Fax (860) 317-4030
Phone(860) 317-4000
Fax(860) 317-4030
Sole ProprietorNo
Enumeration DateDecember 27, 2011
Last NPPES UpdateNovember 3, 20173 updates tracked since enumeration
✔ NPI 1104195833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CT · 3930✔ Licensed in TN · 2087
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1421 LOWES WAY, Plainfield, CT 06374
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Other Names 1

Former Name (1)Katie L Sandlin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katie L. Anderson Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2016 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2016
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06374 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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

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

PREMISE HEALTH OF CONNECTICUT MEDICAL PC
Clinic/Center (Primary Care)
1421 LOWES WAY
PLAINFIELD, CT 06374
Northeastern Connecticut Planning Region (860) 317-4000

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 Katie Anderson's NPI number?

The NPI number for Katie Anderson is 1104195833. It was assigned to this individual provider in the NPPES registry on December 27, 2011. The provider is also known as Katie L Sandlin.

Where is Katie Anderson located?

Katie Anderson practices at 1421 Lowes Way, Plainfield, CT 06374. The listed phone number is (860) 317-4000.

What is Katie Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katie Anderson enrolled in Medicare?

No. Katie Anderson has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Katie Anderson was last updated on November 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.