ANDERSON MEDICAL P.C. DBA EMERGENCY ONE
NPI 1114043411
Clinic/Center - Urgent Care in Kingston, NY
About Anderson Medical P.c. Dba Emergency One NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDERSON MEDICAL P.C. DBA EMERGENCY ONE (NPI 1114043411) is a healthcare organization registered as an urgent care in Kingston, New York and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Barbara Coughlin, Billing Supervisior/secialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anderson Medical P.c. Dba Emergency One is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Anderson Medical P.C. Dba Emergency One, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 22Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D0712179
Anderson Medical PC Emergency One Urgent Care Center · Kingston, NYFrequently 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 Anderson Medical P.C. Dba Emergency One's NPI number?
The NPI number for Anderson Medical P.C. Dba Emergency One is 1114043411. It was assigned to this organization in the NPPES registry on March 21, 2007.
Where is Anderson Medical P.C. Dba Emergency One located?
Anderson Medical P.C. Dba Emergency One is located at 40 Hurley Ave Suite 4, Kingston, NY 12401. The listed phone number is (845) 338-5600.
What is Anderson Medical P.C. Dba Emergency One's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Anderson Medical P.C. Dba Emergency One enrolled in Medicare?
Yes. Anderson Medical P.C. Dba Emergency One is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Anderson Medical P.C. Dba Emergency One?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 4 Medicare specialties reassign their Medicare billing to Anderson Medical P.C. Dba Emergency One. A 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 the clinician's services. The largest specialties are Nurse Practitioner (17), Emergency Medicine (2) and Family Practice (2). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Anderson Medical P.C. Dba Emergency One hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0712179) is associated with this NPI, valid through January 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Anderson Medical P.C. Dba Emergency One was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Anderson Medical P.c. Dba Emergency One · NPI 1114043411
Urgent Care organization in Kingston, New York. Organization record, active in the CMS NPPES registry since March 21, 2007.
## Identity
- **NPI:** 1114043411 (Entity type: Organization)
- **Enumerated:** March 21, 2007
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Barbara Coughlin, BILLING SUPERVISIOR/SECIALIST
## Practice location
- **Address:** 40 HURLEY AVE, SUITE 4, Kingston, NY 12401-3739
- **Phone:** (845) 338-5600 · **Fax:** (845) 338-3058
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (17), Emergency Medicine (2), Family Practice (2); 7 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1114043411/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114043411) · Data from the CMS NPPES public registry.