KAREN RUTH ANDERSON ACNP-BC
NPI 1265688097
Nurse Practitioner - Acute Care in Tucson, AZ

Active since August 12, 2008PECOS EnrolledAccepts Medicare Assignment
5301 E GRANT RD, TUCSON, AZ 85712(520) 334-5695(520) 324-1583 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2021, Aug 26, 2021, Jul 23, 2021 and 2 more (5 updates tracked since 2017).

About Karen Ruth Anderson Acnp-bc NPPES

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

KAREN RUTH ANDERSON ACNP-BC (NPI 1265688097) is an individual acute care provider in Tucson, Arizona, licensed in Arizona (AP3116) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1265688097
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKAREN RUTH ANDERSONCredential: ACNP-BC
Location Address5301 E GRANT RDTucson, AZ 85712-2805
Mailing AddressPo Box 31235Tucson, AZ 85751-1235 · (520) 324-1400
Fax(520) 324-1583
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 12, 2008
Last NPPES UpdateSeptember 16, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2021
✔ NPI 1265688097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AZ · AP3116
5301 E GRANT RD, Tucson, AZ 85712

Other Names 1

Former Name (1)Karen Reinhard

Other Identifiers 1

Medicaid468210AZ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Ruth Anderson Acnp-bc 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 ID9032257084
PECOS Enrollment IDI20091111000404
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

3

Medicare enrollment records show Karen Anderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
Same address
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 196 clinicians in this Medicare group
General Acute Care Hospital
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 95 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.

Areas of Expertise CMS Part B claims

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 20

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

Anesthesiology
5301 E GRANT RD, THMEP
TUCSON, AZ 85712
Pharmacist
5301 E GRANT RD
TUCSON, AZ 85712
Student in an Organized Health Care Education/Training Program
5301 E GRANT RD
TUCSON, AZ 85712
Student in an Organized Health Care Education/Training Program
5301 E GRANT RD
TUCSON, AZ 85712
Internal Medicine
5301 E GRANT RD
TUCSON, AZ 85712
Registered Nurse (Lactation Consultant)
5301 E GRANT RD
TUCSON, AZ 85712
Nurse Practitioner (Family)
5301 E GRANT RD
TUCSON, AZ 85712
Nurse Practitioner (Gerontology)
5301 E GRANT RD
TUCSON, AZ 85712

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 Karen Anderson's NPI number?

The NPI number for Karen Anderson is 1265688097. It was assigned to this individual provider in the NPPES registry on August 12, 2008. The provider is also known as Karen Reinhard.

Where is Karen Anderson located?

Karen Anderson practices at 5301 E Grant Rd, Tucson, AZ 85712. The listed phone number is (520) 334-5695.

What is Karen Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Karen Anderson enrolled in Medicare?

Yes. Karen 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.

Which organizations bill Medicare for Karen Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Anderson reassigns Medicare benefits to 3 organizations: Tmc Medical Network (Tucson, AZ), Tmcone (Tucson, AZ) and Tucson Medical Center (Tucson, AZ). 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 Karen Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Anderson accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Karen 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 Karen Anderson was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.