JESSIE R ANDERSON DO
NPI 1184315137
Student in an Organized Health Care Education/Training Program in Phoenix, AZ
About Jessie R Anderson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSIE R ANDERSON DO (NPI 1184315137) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessie R Anderson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PHOENIX, AZ 85013
PHOENIX, AZ 85013
PHOENIX, AZ 85013
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 Jessie Anderson's NPI number?
The NPI number for Jessie Anderson is 1184315137. It was assigned to this individual provider in the NPPES registry on May 18, 2023.
Where is Jessie Anderson located?
Jessie Anderson practices at 350 W Thomas Rd, Phoenix, AZ 85013. The listed phone number is (602) 406-3000.
What is Jessie Anderson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jessie Anderson enrolled in Medicare?
Yes. Jessie Anderson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jessie Anderson was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jessie R Anderson, DO · NPI 1184315137
Student in an Organized Health Care Education/Training Program provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since May 18, 2023.
## Identity
- **NPI:** 1184315137 (Entity type: Individual)
- **Enumerated:** May 18, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 350 W THOMAS RD, Phoenix, AZ 85013-4409
- **Phone:** (602) 406-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1184315137) · Data from the CMS NPPES public registry.