MARY ELIZABETH ANDERSON MD
NPI 1265960264
Dermatology in Jacksonville Beach, FL

Q: What is Mary Anderson's NPI number?

The NPI number for Mary Anderson is 1265960264. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Q: What is Mary Anderson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Anderson was last updated on September 26, 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.

Active since June 02, 2017PECOS EnrolledAccepts Medicare Assignment

3200 3RD ST S STE 200, JACKSONVILLE BEACH, FL 32250(813) 321-1786(813) 321-1787 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2024, Aug 12, 2021, Jun 2, 2017 (3 updates tracked since 2017).

On this page

About Mary Elizabeth Anderson Md NPPES

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

MARY ELIZABETH ANDERSON MD (NPI 1265960264) is an individual dermatology provider in Jacksonville Beach, Florida, licensed in Florida (ME155627) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center Beaches, and is a graduate of Columbia University College Of Physicians And Surgeons (2017).

NPPES Registry Identity

NPI1265960264

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameMARY ELIZABETH ANDERSONCredential: MD

Location Address3200 3RD ST S STE 200Jacksonville Beach, FL 32250-6097

Mailing Address18228 N Us Highway 41Lutz, FL 33549-4400 · (813) 321-1786 · Fax (813) 321-1787

Phone(813) 321-1786

Fax(813) 321-1787

Sole ProprietorYes

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2017

Enumeration DateJune 2, 2017

Last NPPES UpdateSeptember 26, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2025

✔ NPI 1265960264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in FL · ME155627

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

3200 3RD ST S STE 200, Jacksonville Beach, FL 32250

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Other Identifiers 1

Medicaid124534000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.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

Mary Elizabeth Anderson Md 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 ID9638441447

PECOS Enrollment IDI20241111003929

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

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

Suncoast Skin Solutions

162 mi

Dermatology

4651 VAN DYKE RD
Lutz, FL 33558

Reassigned Medicare billing, Florida enrollment
68 clinicians in this Medicare group

NPI 1487827416 (813) 321-1786

Oliver Street 5.01(a) Inc.

927 mi

Dermatology

5310 HARVEST HILL RD STE 290
Dallas, TX 75230

Reassigned Medicare billing, Texas enrollment
163 clinicians in this Medicare group

NPI 1457695413 (214) 420-0672

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 6

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

80 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

21 services21 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

20 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services17 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32250 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 6

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

STEPHANIE ORTMAN M.D.

Dermatology