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RICHARD A. ANDERSON NP
NPI 1295930394
Nurse Practitioner - Family in Park Falls, WI

Active since June 19, 2007PECOS Enrolled
100/100
CMS Quality Rating
50 SHERRY AVE, PARK FALLS, WI 54552(715) 762-3212 Get Directions Write a Review

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

About Richard A. Anderson Np NPPES

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

RICHARD A. ANDERSON NP (NPI 1295930394) is an individual family provider in Park Falls, Wisconsin, licensed in Wisconsin (3207) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295930394
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRICHARD A. ANDERSONCredential: NP
Location Address50 SHERRY AVEPark Falls, WI 54552-1467
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Phone(715) 762-3212
Sole ProprietorNo
Enumeration DateJune 19, 2007
Last NPPES UpdateJune 25, 2025
NPPES CertifiedJune 25, 2025
✔ NPI 1295930394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 3207
Also ListedNurse PractitionerTaxonomy 363L00000X · License 130982 (WI)
50 SHERRY AVE, Park Falls, WI 54552
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan 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 (PECOS)

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

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 Richard Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marshfield Clinic Inc
89 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511

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 54552 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.25
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers99 claims198 services$5.98 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers33 claims42 services$1.03 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$24.45 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$52.54 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
1 supplier11 claims33 services$34.80 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

MRS. SHARON M SCHERWINSKI N.P.
Nurse Practitioner
50 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-3212
DR. DEBRA L. CIASULLI M.D.
Psychiatry & Neurology (Psychiatry)
50 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-3212
YUSUF KASIRYE M.D.
Internal Medicine
50 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-3212
THOMAS B. PREBBLE MD
Emergency Medicine
50 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-3212
LOUAY O DANIAL MD
Family Medicine
50 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-7311
CASSY SUSAN PYDO PA-C
Physician Assistant
50 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-7311
DR. GREGORY T RICHBURG MD
Emergency Medicine
50 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-3212
BRIAN J. KNABE MD
Emergency Medicine
50 SHERRY AVE
PARK FALLS, WI 54552
Price County (715) 762-3212

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 Richard Anderson's NPI number?

The NPI number for Richard Anderson is 1295930394. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Richard Anderson located?

Richard Anderson practices at 50 Sherry Ave, Park Falls, WI 54552. The listed phone number is (715) 762-3212.

What is Richard Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Richard Anderson enrolled in Medicare?

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

Which organization bills Medicare for Richard Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Anderson reassigns Medicare benefits to Marshfield Clinic Inc (Marshfield, WI). 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 Richard Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Anderson accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and Security Health Plan list Richard 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 Richard Anderson was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.