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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TANISHA ANDERSON DNP, APRN, FNP-C
NPI 1124526025
Nurse Practitioner - Family in Jacksonville, FL

Active since January 25, 2018PECOS Enrolled
12412 SAN JOSE BLVD STE 402, JACKSONVILLE, FL 32223(904) 638-3511 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jan 5, 2021, Oct 19, 2020 and 3 more (6 updates tracked since 2019).

About Tanisha Anderson Dnp, Aprn, Fnp-c NPPES

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

TANISHA ANDERSON DNP, APRN, FNP-C (NPI 1124526025) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN9297657) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124526025
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTANISHA ANDERSONCredential: DNP, APRN, FNP-C
Location Address12412 SAN JOSE BLVD STE 402Jacksonville, FL 32223-8620
Mailing Address7643 Gate Pkwy Ste 104-523Jacksonville, FL 32256-3092 · (904) 638-3511
Phone(904) 638-3511
Sole ProprietorNo
Enumeration DateJanuary 25, 2018
Last NPPES UpdateJune 9, 20266 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1124526025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN9297657
12412 SAN JOSE BLVD STE 402, Jacksonville, FL 32223
Open in Google Maps ↗

Other Identifiers 2

OtherRN9297657FL · Rn Fl License
OtherAPRN9297657FL · Aprn Fl License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanisha Anderson Dnp, Aprn, Fnp-c 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 32223 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$35.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tanisha Anderson's NPI number?

The NPI number for Tanisha Anderson is 1124526025. It was assigned to this individual provider in the NPPES registry on January 25, 2018.

Where is Tanisha Anderson located?

Tanisha Anderson practices at 12412 San Jose Blvd Ste 402, Jacksonville, FL 32223. The listed phone number is (904) 638-3511.

What is Tanisha Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tanisha Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tanisha Anderson was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.