1. Home
  2. Directory
  3. California
  4. Redlands
  5. Nurse Practitioner
  6. NPI Profile

GWENDOLYN MARY ANDERSON DNP
NPI 1124637368
Nurse Practitioner - Family in Redlands, CA

Active since July 23, 2020PECOS Enrolled
1400 BARTON RD APT 2905, REDLANDS, CA 92373(909) 283-8925 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2024, Jul 23, 2020 (2 updates tracked since 2020).

About Gwendolyn Mary Anderson Dnp NPPES

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

GWENDOLYN MARY ANDERSON DNP (NPI 1124637368) is an individual family provider in Redlands, California, licensed in California (95029377) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124637368
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGWENDOLYN MARY ANDERSONCredential: DNP
Location Address1400 BARTON RD APT 2905Redlands, CA 92373-5444
Mailing Address11262 Campus Street - West HallLoma Linda, CA 92350
Phone(909) 283-8925
Sole ProprietorNo
Enumeration DateJuly 23, 2020
Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1124637368 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 CA · 95029377
1400 BARTON RD APT 2905, Redlands, CA 92373
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwendolyn Mary Anderson Dnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gwendolyn Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Molina Healthcare Of California
31 mi
Family Medicine
887 E SECOND ST
Pomona, CA 91766
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
NPI 1932214228 (909) 620-7769
Central Health Plan Of California, Inc.
36 mi
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
NPI 1386714772 (626) 388-2390

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 92373 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Gwendolyn Anderson's NPI number?

The NPI number for Gwendolyn Anderson is 1124637368. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Gwendolyn Anderson located?

Gwendolyn Anderson practices at 1400 Barton Rd Apt 2905, Redlands, CA 92373. The listed phone number is (909) 283-8925.

What is Gwendolyn Anderson's specialty?

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

Is Gwendolyn Anderson enrolled in Medicare?

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

Which organizations bill Medicare for Gwendolyn Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolyn Anderson reassigns Medicare benefits to 2 organizations: Molina Healthcare Of California (Pomona, CA) and Central Health Plan Of California, Inc. (Diamond Bar, CA). Each 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 Gwendolyn Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gwendolyn Anderson was last updated on July 25, 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.