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ANDREA J ANDERSON
NPI 1427616986
Nurse Practitioner in Council Bluffs, IA

Active since May 30, 2019PECOS EnrolledAccepts Medicare Assignment
1 EDMUNDSON PL STE 100, COUNCIL BLUFFS, IA 51503(717) 322-4136(717) 322-8129 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2023, Dec 30, 2022, May 21, 2021 and 1 more (4 updates tracked since 2019).

About Andrea J Anderson NPPES

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

ANDREA J ANDERSON (NPI 1427616986) is an individual nurse practitioner in Council Bluffs, Iowa, licensed in Iowa (A154365) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1427616986
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANDREA J ANDERSON
Location Address1 EDMUNDSON PL STE 100Council Bluffs, IA 51503-4658
Mailing Address8632 S 99th CirLa Vista, NE 68128-7009
Phone(717) 322-4136
Fax(717) 322-8129
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 30, 2019
Last NPPES UpdateFebruary 10, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
✔ NPI 1427616986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · A154365
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 112780 (NE)
1 EDMUNDSON PL STE 100, Council Bluffs, IA 51503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Andrea J Anderson 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 ID5991104051
PECOS Enrollment IDI20210921000714
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services21 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
26 services25 patients

Hospital Affiliations CMS Care Compare 2

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Bellevue Medical Center, LLC

Acute Care Hospitals · Bellevue, NE
5/5 CMS rating
OwnershipProprietary
CMS Certification Number280132
Location2500 Bellevue Medical Center DrBellevue, NE 68123 · Sarpy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51503 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 4

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

TAMMY MARIE JOHNSON ARNP
Nurse Practitioner
1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA 51503
Pottawattamie County (717) 322-4136
AMERICAN ONCOLOGY PARTNERS, P.A.
Internal Medicine (Hematology & Oncology)
1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA 51503
Pottawattamie County (712) 322-4136
THERESA MARGARET EVANS APRN NP
Nurse Practitioner
1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA 51503
Pottawattamie County (717) 322-4136
KRISTIN ELIZABETH MARKEL AGACNP-BC
Nurse Practitioner
1 EDMUNDSON PL STE 100
COUNCIL BLUFFS, IA 51503
Pottawattamie County (402) 322-4136

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 Andrea Anderson's NPI number?

The NPI number for Andrea Anderson is 1427616986. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Andrea Anderson located?

Andrea Anderson practices at 1 Edmundson Pl Ste 100, Council Bluffs, IA 51503. The listed phone number is (717) 322-4136.

What is Andrea Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Andrea Anderson enrolled in Medicare?

Yes. Andrea 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 Andrea Anderson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Andrea 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 Andrea Anderson affiliated with any hospitals?

According to CMS data, Andrea Anderson is affiliated with The Nebraska Medical Center and Bellevue Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Andrea Anderson was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.