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SEAN RILEY ANDERSON
NPI 1174873160
Nurse Practitioner in Pittsburg, KS

Active since September 17, 2012PECOS EnrolledAccepts Medicare Assignment
1018 OHIO ST, PITTSBURG, KS 66762(620) 231-5900(620) 308-6901 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Sean Riley Anderson NPPES

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

SEAN RILEY ANDERSON (NPI 1174873160) is an individual nurse practitioner in Pittsburg, Kansas, licensed in Kansas (75800) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Girard Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1174873160
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSEAN RILEY ANDERSON
Location Address1018 OHIO STPittsburg, KS 66762-6437
Mailing Address1018 Ohio StPittsburg, KS 66762-6437 · (620) 231-5900 · Fax (620) 308-6901
Phone(620) 231-5900
Fax(620) 308-6901
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 17, 2012
✔ NPI 1174873160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KS · 75800
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1018 OHIO ST, Pittsburg, KS 66762
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean Riley Anderson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092966150
PECOS Enrollment IDI20121119000421
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.

Areas of Expertise CMS Part B claims 4

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
351 services64 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
125 services24 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
37 services35 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Girard Medical Center

Critical Access Hospitals · Girard, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171376
Location302 North Hospital DriveGirard, KS 66743 · Crawford County
Emergency services

Neosho Memorial Regional Medical Center

Critical Access Hospitals · Chanute, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number171380
Location629 South PlummerChanute, KS 66720 · Neosho County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66762 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 4

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
1 supplier22 claims22 services$63.66 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers27 claims27 services$20.53 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$7.67 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers27 claims27 services$115.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

JOHN D TAYLOR MD PA
Internal Medicine
1018 OHIO ST
PITTSBURG, KS 66762
Crawford County (620) 231-5900
JOHN D TAYLOR MD
Internal Medicine
1018 OHIO ST
PITTSBURG, KS 66762
Crawford County (620) 231-5900

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 Sean Anderson's NPI number?

The NPI number for Sean Anderson is 1174873160. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Where is Sean Anderson located?

Sean Anderson practices at 1018 Ohio St, Pittsburg, KS 66762. The listed phone number is (620) 231-5900.

What is Sean Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sean Anderson enrolled in Medicare?

Yes. Sean Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sean Anderson accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Sean Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sean Anderson affiliated with any hospitals?

According to CMS data, Sean Anderson is affiliated with Girard Medical Center and Neosho Memorial Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Anderson was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.