PAULINE CHRISTINE ANDERSON AGPCNP
NPI 1104318856
Nurse Practitioner - Adult Health in New York, NY

Q: What is Pauline Anderson's NPI number?

The NPI number for Pauline Anderson is 1104318856. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Q: What is Pauline Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Pauline Anderson was last updated on May 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 30, 2018PECOS Enrolled

100 E 77TH ST, NEW YORK, NY 10075(212) 434-2570 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Pauline Christine Anderson Agpcnp NPPES

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

PAULINE CHRISTINE ANDERSON AGPCNP (NPI 1104318856) is an individual adult health provider in New York, New York, licensed in New York (308635) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104318856

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NamePAULINE CHRISTINE ANDERSONCredential: AGPCNP

Location Address100 E 77TH STNew York, NY 10075-1850

Mailing Address459 E 38th St Apt 3Brooklyn, NY 11203-5118 · (212) 434-2570

Phone(212) 434-2570

Sole ProprietorNo

Enumeration DateMay 30, 2018

✔ NPI 1104318856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 308635

100 E 77TH ST, New York, NY 10075

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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)

Pauline Christine Anderson Agpcnp 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 10075 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.