KAREN S ANDERSON CNM, APNP
NPI 1306216940
Advanced Practice Midwife in Madison, WI
About Karen S Anderson Cnm, Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN S ANDERSON CNM, APNP (NPI 1306216940) is an individual advanced practice midwife in Madison, Wisconsin, licensed in Wisconsin (148910-32) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Karen S Anderson Cnm, Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Karen Anderson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53713
- Reassigned Medicare billing, Wisconsin enrollment
- 124 clinicians in this Medicare group
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Hillsboro, WI 54634
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
Bridgeport, WV 26330
- Reassigned Medicare billing, West Virginia enrollment
- Medicare enrollment name: West Virginia University Medical Corporation
- 2,471 clinicians in this Medicare group
Mobile, AL 36617
- Reassigned Medicare billing, Alabama enrollment
- 394 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 53713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 1306216940. It was assigned to this individual provider in the NPPES registry on September 25, 2015.
Where is Karen Anderson located?
Karen Anderson practices at 2202 S Park St, Madison, WI 53713. The listed phone number is (608) 443-5480.
What is Karen Anderson's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Karen Anderson enrolled in Medicare?
Yes. Karen Anderson is registered in the Medicare PECOS enrollment system.
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 5 organizations: Access Community Health Centers, Inc. (Madison, WI), University Of Wisconsin Medical Foundation, Inc (Middleton, WI), Gundersen Clinic, Ltd. (Hillsboro, WI), Wvu Medical Corporation (Bridgeport, WV) and University Of South Alabama (Mobile, AL). 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 CareSource, Dean Health Plan, Group Health Cooperative-SCW, Quartz and UnitedHealthcare 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 December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Karen S Anderson, CNM, APNP · NPI 1306216940
Advanced Practice Midwife physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since September 25, 2015.
## Identity
- **NPI:** 1306216940 (Entity type: Individual)
- **Enumerated:** September 25, 2015
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 148910-32 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2202 S PARK ST, Madison, WI 53713-1916
- **Phone:** (608) 443-5480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Access Community Health Centers, Inc. (NPI 1568675858, Madison, WI); University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI); Gundersen Clinic, Ltd. (NPI 1578517140, Hillsboro, WI); Wvu Medical Corporation (NPI 1245625581, Bridgeport, WV); University Of South Alabama (NPI 1497859052, Mobile, AL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1306216940) · Data from the CMS NPPES public registry.