JENNIFER LYNN ANDERSON PA-C
NPI 1306028436
Physician Assistant in Moncks Corner, SC

Q: What is Jennifer Anderson's NPI number?

The NPI number for Jennifer Anderson is 1306028436. It was assigned to this individual provider in the NPPES registry on November 30, 2007. The provider is also known as Jennifer Riley Anderson Pa-C.

Q: What is Jennifer Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Anderson was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 30, 2007

70.05/100

CMS Quality Rating

459 N HIGHWAY 52, MONCKS CORNER, SC 29461(843) 899-3870 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 29, 2022, Sep 1, 2017, Jan 23, 2017 (3 updates tracked since 2017).

On this page

About Jennifer Lynn Anderson Pa-c NPPES

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

JENNIFER LYNN ANDERSON PA-C (NPI 1306028436) is an individual physician assistant in Moncks Corner, South Carolina, licensed in South Carolina (PA4330) and active in the NPI registry since November 2007. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306028436

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENNIFER LYNN ANDERSONCredential: PA-C

Location Address459 N HIGHWAY 52Moncks Corner, SC 29461-3924

Mailing Address2243 Sandy Point LnMount Pleasant, SC 29466-9203 · (775) 544-1869

Phone(843) 899-3870

Sole ProprietorNo

Enumeration DateNovember 30, 2007

Last NPPES UpdateSeptember 29, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2022

✔ NPI 1306028436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in SC · PA4330✔ Licensed in NV · PA1077

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

459 N HIGHWAY 52, Moncks Corner, SC 29461

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Other Names 1

Professional Name (2)Jennifer Riley Anderson Pa-c

Secondary Practice Locations 2

Location 1975 Ryland StReno, NV 89502-1667 · Phone (775) 982-5000 · Fax (775) 982-3900

Location 2631 Johnnie Dodds BlvdMount Pleasant, SC 29464-3030 · Phone (843) 881-0815

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.

70.05/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

48.22

Promoting Interoperability

Improvement Activities

Cost

53.62

Other Providers at the Same Location NPPES 5

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

DOCTORS CARE SC, PA

Family Medicine