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MICHELE RENEE ANDERSON PMHNP-BC
NPI 1255109831
Nurse Practitioner - Psychiatric/Mental Health in Irvine, CA

Active since December 13, 2023PECOS Enrolled
4902 IRVINE CENTER DR STE 203, IRVINE, CA 92604(434) 300-3037 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 1, 2025, Dec 13, 2023 (2 updates tracked since 2023).

About Michele Renee Anderson Pmhnp-bc NPPES

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

MICHELE RENEE ANDERSON PMHNP-BC (NPI 1255109831) is an individual psychiatric/mental health provider in Irvine, California, licensed in California (95028156) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1255109831
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELE RENEE ANDERSONCredential: PMHNP-BC
Location Address4902 IRVINE CENTER DR STE 203Irvine, CA 92604-3335
Mailing AddressPo Box 103Indio, CA 92202-0103 · (760) 574-9464
Phone(434) 300-3037
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 13, 2023
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1255109831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95028156
4902 IRVINE CENTER DR STE 203, Irvine, CA 92604
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michele Renee Anderson Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103307335
PECOS Enrollment IDI20260225002429
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 Reassignment

Medicare enrollment records show Michele Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dap Health, Inc.
48 mi
Federally Qualified Health Center (FQHC)
651 N STATE ST
San Jacinto, CA 92583
  • Reassigned Medicare billing, California enrollment
  • 93 clinicians in this Medicare group
NPI 1598180101 (760) 767-5051

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 92604 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 3

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

JILL GRAVOIS LCSW
Social Worker (Clinical)
4902 IRVINE CENTER DR STE 203
IRVINE, CA 92604
Orange County (562) 708-1068
HENRI KOROVESHI LCSW
Social Worker (Clinical)
4902 IRVINE CENTER DR STE 203
IRVINE, CA 92604
Orange County (855) 284-7483
LILY MIRZADA
Marriage & Family Therapist
4902 IRVINE CENTER DR STE 203
IRVINE, CA 92604
Orange County (617) 379-0496

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 Michele Anderson's NPI number?

The NPI number for Michele Anderson is 1255109831. It was assigned to this individual provider in the NPPES registry on December 13, 2023.

Where is Michele Anderson located?

Michele Anderson practices at 4902 Irvine Center Dr Ste 203, Irvine, CA 92604. The listed phone number is (434) 300-3037.

What is Michele Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michele Anderson enrolled in Medicare?

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

Which organization bills Medicare for Michele Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Anderson reassigns Medicare benefits to Dap Health, Inc. (San Jacinto, CA). 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 Michele 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 Michele Anderson was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.