JACQUELINE RAE ANDERSON LP
NPI 1386137016
Psychologist in Broomfield, CO
About Jacqueline Rae Anderson Lp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE RAE ANDERSON LP (NPI 1386137016) is an individual psychologist in Broomfield, Colorado, licensed in Colorado (PSY.0005796) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Collins.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Rae Anderson Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Broomfield, CO 80021
- Reassigned Medicare billing, Colorado enrollment
- 390 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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOMFIELD, CO 80021
BROOMFIELD, CO 80021
BROOMFIELD, CO 80021
BROOMFIELD, CO 80021
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 Jacqueline Anderson's NPI number?
The NPI number for Jacqueline Anderson is 1386137016. It was assigned to this individual provider in the NPPES registry on June 7, 2018.
Where is Jacqueline Anderson located?
Jacqueline Anderson practices at 12303 Airport Way Ste 125, Broomfield, CO 80021. The listed phone number is (970) 310-3406.
What is Jacqueline Anderson's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jacqueline Anderson enrolled in Medicare?
Yes. Jacqueline Anderson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacqueline Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Anderson reassigns Medicare benefits to Heart Centered Counseling, PC (Broomfield, CO). 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 Jacqueline Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacqueline Anderson was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.