TANNA ANDERSON
NPI 1417819178
Physician Assistant in Edwards, CO

Active since December 01, 2025PECOS Enrolled
2205 CORDILLERA WAY, EDWARDS, CO 81632(970) 237-4360 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 5, 2026, Dec 1, 2025 (2 updates tracked since 2025).

About Tanna Anderson NPPES

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

TANNA ANDERSON (NPI 1417819178) is an individual physician assistant in Edwards, Colorado and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417819178
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTANNA ANDERSON
Location Address2205 CORDILLERA WAYEdwards, CO 81632-6290
Mailing AddressPo Box 1166Dillon, CO 80435-1162
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 1, 2025
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
NPI 1417819178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2205 CORDILLERA WAY, Edwards, CO 81632

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tanna Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264915032
PECOS Enrollment IDI20260310002925
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 81632 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rehabilitation, Substance Use Disorder)
2205 CORDILLERA WAY
EDWARDS, CO 81632
Counselor (Addiction (Substance Use Disorder))
2205 CORDILLERA WAY
EDWARDS, CO 81632
Substance Abuse Rehabilitation Facility
2205 CORDILLERA WAY
EDWARDS, CO 81632
Physician Assistant
2205 CORDILLERA WAY
EDWARDS, CO 81632
Preventive Medicine (Addiction Medicine)
2205 CORDILLERA WAY
EDWARDS, CO 81632
Dietitian, Registered
2205 CORDILLERA WAY
EDWARDS, CO 81632
Social Worker (Clinical)
2205 CORDILLERA WAY
EDWARDS, CO 81632
Social Worker (Clinical)
2205 CORDILLERA WAY
EDWARDS, CO 81632

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417819178, enumerated as an "individual" on December 01, 2025.

The provider is located at 2205 CORDILLERA WAY EDWARDS, CO 81632 and the phone number is (970) 237-4360.

Physician Assistant with taxonomy code 363A00000X.