JON KENNETH ANDERSON NP
NPI 1164432969
Nurse Practitioner - Family in Fresno, CA

Q: What is Jon Anderson's NPI number?

The NPI number for Jon Anderson is 1164432969. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Jon Anderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jon Anderson was last updated on January 22, 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.

Active since August 08, 2006

85/100

CMS Quality Rating

4411 E KINGS CANYON RD # 319, FRESNO, CA 93702(559) 600-2382 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jon Kenneth Anderson Np NPPES

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

JON KENNETH ANDERSON NP (NPI 1164432969) is an individual family provider in Fresno, California, licensed in California (9868) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1164432969

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJON KENNETH ANDERSONCredential: NP

Location Address4411 E KINGS CANYON RD # 319Fresno, CA 93702-3604

Mailing AddressPsychiatric Health Facility (youth), 4411 E. Kings Canyon Rd. #319Fresno, CA 93702 · (559) 600-2382

Phone(559) 600-2382

Sole ProprietorNo

Enumeration DateAugust 8, 2006

Last NPPES UpdateJanuary 22, 2024

NPPES CertifiedJanuary 19, 2024

✔ NPI 1164432969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 9868

Also ListedRegistered NurseTaxonomy 163W00000X · License 486848 (CA)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 9868 (CA)

4411 E KINGS CANYON RD # 319, Fresno, CA 93702

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Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services24 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.33

Promoting Interoperability

100

Improvement Activities

Cost

45.02

Other Providers at the Same Location NPPES 20

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

RENA SHERMAINE COOPER

Registered Nurse