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: August 09, 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
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

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Counselor (Mental Health)
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Social Worker (Clinical)
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Social Worker (Clinical)
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Social Worker
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Nurse Practitioner (Psychiatric/Mental Health)
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Social Worker (Clinical)
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Counselor
1441 W CENTRAL PARK AVE
DAVENPORT, IA 52804

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.

What insurance does Autumn Anderson accept?

Health plans from HealthPartners, Medica 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 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.