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AUTUMN SAGE ANDERSON MSN, RN, PMHNP-BC
NPI 1306475413
Nurse Practitioner - Psychiatric/Mental Health in Davenport, IA

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804(563) 383-1900 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 13, 2024, Apr 2, 2020 (2 updates tracked since 2020).

About Autumn Sage Anderson Msn, Rn, Pmhnp-bc NPPES

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

AUTUMN SAGE ANDERSON MSN, RN, PMHNP-BC (NPI 1306475413) is an individual psychiatric/mental health provider in Davenport, Iowa, licensed in Iowa (G181066) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Davenport, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306475413
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAUTUMN SAGE ANDERSONCredential: MSN, RN, PMHNP-BC
Location Address1441 W CENTRAL PARK AVEDavenport, IA 52804-1707
Mailing Address3527 W Columbia AveDavenport, IA 52804-1123
Phone(563) 383-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 2, 2020
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1306475413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IA · G181066
1441 W CENTRAL PARK AVE, Davenport, IA 52804
Open in Google Maps ↗

Secondary Practice Location 1

Location 13527 W Columbia AveDavenport, IA 52804-1123 · Phone (630) 329-4999

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Oscar Health, Oscar Insurance Company.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

Autumn Sage Anderson Msn, Rn, Pmhnp-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 ID5496287302
PECOS Enrollment IDI20241016004742
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 Autumn Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vera French Community Mental Health
Same address
Mental Health (Including Community Mental Health Center)
1441 W CENTRAL PARK AVE
Davenport, IA 52804
  • Reassigned Medicare billing, Iowa enrollment
  • 51 clinicians in this Medicare group
NPI 1245291129 (563) 383-1900

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 52804 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

JULIA CHRISTINE SASS ARNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 383-1900
VERA FRENCH COMMUNITY MENTAL HEALTH
Counselor (Mental Health)
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 383-1900
JENNA CAPESIUS LMSW
Social Worker (Clinical)
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 383-1900
JAMES RANDALL BOLTON LISW
Social Worker (Clinical)
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 888-6275
BARBARA ANN ROBINSON-LAGARDE
Social Worker
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 383-1900
NICHOLAS BLIEU ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 383-1900
ROBERTA BREWER LISW
Social Worker (Clinical)
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 383-1900
CHRISTINA KELLY LMSW
Counselor
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 383-1900

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 Autumn Anderson's NPI number?

The NPI number for Autumn Anderson is 1306475413. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Autumn Anderson located?

Autumn Anderson practices at 1441 W Central Park Ave, Davenport, IA 52804. The listed phone number is (563) 383-1900.

What is Autumn Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Autumn Anderson enrolled in Medicare?

Yes. Autumn 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 organization bills Medicare for Autumn Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Anderson reassigns Medicare benefits to Vera French Community Mental Health (Davenport, IA). 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 Autumn Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autumn Anderson accept?

Health plans from HealthPartners, Oscar Health and Oscar Insurance Company list Autumn 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 Autumn Anderson was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.