PAUL DUANE ANDERSON PMHNP
NPI 1427654508
Nurse Practitioner - Psychiatric/Mental Health in Warner Robins, GA

Q: What is Paul Anderson's NPI number?

The NPI number for Paul Anderson is 1427654508. It was assigned to this individual provider in the NPPES registry on December 5, 2020.

Q: What is Paul Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Paul Anderson was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 05, 2020PECOS EnrolledAccepts Medicare Assignment

204 LISA MARIE CT, WARNER ROBINS, GA 31088(478) 538-0677 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2023, Dec 5, 2020 (2 updates tracked since 2020).

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About Paul Duane Anderson Pmhnp NPPES

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

PAUL DUANE ANDERSON PMHNP (NPI 1427654508) is an individual psychiatric/mental health provider in Warner Robins, Georgia, licensed in Georgia (RN239689) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1427654508

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NamePAUL DUANE ANDERSONCredential: PMHNP

Location Address204 LISA MARIE CTWarner Robins, GA 31088-2980

Mailing Address204 Lisa Marie CtWarner Robins, GA 31088-2980 · (478) 538-0677

Phone(478) 538-0677

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 5, 2020

Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration

NPPES CertifiedAugust 10, 2023

✔ NPI 1427654508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN239689

Also ListedRegistered NurseTaxonomy 163W00000X · License RN239689 (GA)

204 LISA MARIE CT, Warner Robins, GA 31088

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Other Identifiers 1

Other163W00000XGA · Na

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Paul Duane Anderson Pmhnp 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 ID4385095744

PECOS Enrollment IDI20240110001219

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.

111 services29 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

97 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31088 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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 Paul Anderson's NPI number?

The NPI number for Paul Anderson is 1427654508. It was assigned to this individual provider in the NPPES registry on December 5, 2020.

Where is Paul Anderson located?

Paul Anderson practices at 204 Lisa Marie Ct, Warner Robins, GA 31088. The listed phone number is (478) 538-0677.

What is Paul Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Paul Anderson enrolled in Medicare?

Yes. Paul 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 Paul Anderson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Paul 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 Paul Anderson was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.