GRACE REBECCA ANDERSON RN
NPI 1194544692
Dietitian, Registered in North Charleston, SC
About Grace Rebecca Anderson Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE REBECCA ANDERSON RN (NPI 1194544692) is an individual dietitian, registered in North Charleston, South Carolina, licensed in New York (012676-01) and active in the NPI registry since October 2024. She is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Rebecca Anderson Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Grace Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Camillus, NY 13031
- Reassigned Medicare billing, New York enrollment
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Grace Anderson's NPI number?
The NPI number for Grace Anderson is 1194544692. It was assigned to this individual provider in the NPPES registry on October 10, 2024.
Where is Grace Anderson located?
Grace Anderson practices at 8251 Windsor Hill Blvd Apt 9303, North Charleston, SC 29420. The listed phone number is (423) 366-1863.
What is Grace Anderson's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Grace Anderson enrolled in Medicare?
Yes. Grace Anderson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Grace Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Anderson reassigns Medicare benefits to Sarah Lynn Nutrition (Camillus, NY). The 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 Grace 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 Grace Anderson was last updated on August 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Grace Rebecca Anderson, RN · NPI 1194544692
Dietitian, Registered provider in North Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since October 10, 2024.
## Identity
- **NPI:** 1194544692 (Entity type: Individual)
- **Enumerated:** October 10, 2024
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 012676-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8251 WINDSOR HILL BLVD APT 9303, North Charleston, SC 29420-8450
- **Phone:** (423) 366-1863
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Sarah Lynn Nutrition (NPI 1730851346, Camillus, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194544692) · Data from the CMS NPPES public registry.