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MR. ANDREW MARK ANDERSON PA-C
NPI 1316107998
Physician Assistant - Surgical in Edina, MN

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment
4010 W 65TH ST, EDINA, MN 55435(952) 456-7000(952) 456-7001 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Andrew Mark Anderson Pa-c NPPES

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

MR. ANDREW MARK ANDERSON PA-C (NPI 1316107998) is an individual surgical provider in Edina, Minnesota, licensed in Minnesota (10677) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine (2009).

NPPES Registry Identity

NPI1316107998
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. ANDREW MARK ANDERSONCredential: PA-C
Location Address4010 W 65TH STEdina, MN 55435-1706
Mailing Address4200 Dahlberg Dr, Suite 300Golden Valley, MN 55422-4840 · (952) 512-5600 · Fax (952) 512-5651
Phone(952) 456-7000
Fax(952) 456-7001
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2009
Enumeration DateJune 17, 2008
Last NPPES UpdateAugust 14, 2012
✔ NPI 1316107998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MN · 10677
4010 W 65TH ST, Edina, MN 55435
Open in Google Maps ↗

Accepted Insurance

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

Mr. Andrew Mark Anderson Pa-c 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 ID2163564030
PECOS Enrollment IDI20100115000555
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
59 services54 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
23 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

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.

DAVID BLOOMQUIST ATC
Specialist/Technologist (Athletic Trainer)
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (320) 212-3992
AMBER DEGRAFF
Occupational Therapist (Pediatrics)
4010 W 65TH ST, SUITE 105
EDINA, MN 55435
Hennepin County (952) 285-2840
ANNE R ANDERSON RNFA
Registered Nurse (Registered Nurse First Assistant)
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
KELLEY F GROTTING CNP
Nurse Practitioner
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
DR. BRIAN PETER BJERKE M.D.
Orthopaedic Surgery
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
MRS. KAITLYN M SOLDAN PA-C, ATC
Physician Assistant
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
CATHERINE FENLASON SLP
Speech-Language Pathologist
4010 W 65TH ST, SUITE 105
EDINA, MN 55435
Hennepin County (952) 285-2840
DOUGLAS ALBERT DRAKE M.D.
Orthopaedic Surgery (Hand Surgery)
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000

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 Andrew Anderson's NPI number?

The NPI number for Andrew Anderson is 1316107998. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Andrew Anderson located?

Andrew Anderson practices at 4010 W 65th St, Edina, MN 55435. The listed phone number is (952) 456-7000.

What is Andrew Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Andrew Anderson enrolled in Medicare?

Yes. Andrew 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 Andrew Anderson accept?

Health plans from HealthPartners and Medica list Andrew 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.

Is Andrew Anderson affiliated with any hospitals?

According to CMS data, Andrew Anderson is affiliated with M Health Fairview Southdale Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Anderson was last updated on August 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.