CORI LYNN ANDERSON NP
NPI 1255209284
Nurse Practitioner in Sandy, UT

Active since October 29, 2025PECOS Enrolled
9660 S 1300 E # 20, SANDY, UT 84094(801) 965-3600 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cori Lynn Anderson Np NPPES

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

CORI LYNN ANDERSON NP (NPI 1255209284) is an individual nurse practitioner in Sandy, Utah, licensed in Utah (5265330-4405) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Jordan, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255209284
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCORI LYNN ANDERSONCredential: NP
Location Address9660 S 1300 E # 20Sandy, UT 84094-3762
Mailing Address2965 W 3500 SWest Valley City, UT 84119-3602 · (801) 965-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 29, 2025
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1255209284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 5265330-4405
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.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 5265330-4405 (UT)
9660 S 1300 E # 20, Sandy, UT 84094

Secondary Practice Location 1

Location 11578 W Duffys LnWest Jordan, UT 84084-7441 · Phone (801) 318-0274

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cori Lynn Anderson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153889027
PECOS Enrollment IDI20260820003268
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 Reassignments

2

Medicare enrollment records show Cori Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
11724 SOUTH STATE ST.
Draper, UT 84020
  • Reassigned Medicare billing, Utah enrollment
  • 190 clinicians in this Medicare group
Clinic/Center
2965 W 3500 S
West Valley City, UT 84119
  • Reassigned Medicare billing, Utah enrollment
  • 188 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84094 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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 Cori Anderson's NPI number?

The NPI number for Cori Anderson is 1255209284. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Where is Cori Anderson located?

Cori Anderson practices at 9660 S 1300 E # 20, Sandy, UT 84094. The listed phone number is (801) 965-3600.

What is Cori Anderson's specialty?

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

Is Cori Anderson enrolled in Medicare?

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

Which organizations bill Medicare for Cori Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cori Anderson reassigns Medicare benefits to 2 organizations: Granger Medical Clinic PC (Draper, UT) and Granger Medical Specialists LLC (West Valley City, UT). Each 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 Cori Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cori Anderson accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Cori 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.

When was this NPI record last updated?

The NPPES record for Cori Anderson was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.