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DR. ADAM ANDERSON PHD
NPI 1467569962
Psychologist - Clinical in Mankato, MN

Active since August 23, 2006PECOS Enrolled
1025 MARSH ST, MANKATO, MN 56001(507) 340-2011 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 19, 2022, Sep 17, 2020, Dec 3, 2015 (3 updates tracked since 2015).

About Dr. Adam Anderson Phd NPPES

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

DR. ADAM ANDERSON PHD (NPI 1467569962) is an individual clinical provider in Mankato, Minnesota, licensed in Minnesota (LP4863) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1467569962
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ADAM ANDERSONCredential: PHD
Location Address1025 MARSH STMankato, MN 56001-4752
Mailing Address1025 Marsh StMankato, MN 56001-4752 · (507) 625-4031
Phone(507) 340-2011
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 19, 20223 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
✔ NPI 1467569962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP4863
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1025 MARSH ST, Mankato, MN 56001
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Adam Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mayo Clinic
76 mi
Infectious Disease
200 1ST ST SW
Rochester, MN 55905
  • Reassigned Medicare billing, Minnesota enrollment
  • 6,534 clinicians in this Medicare group
NPI 1114343860 (507) 284-2511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

KRISTIN MARIE CLIFFORD CNP
Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 625-4031
PAUL L JOHNSON M.D.
Anesthesiology
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 345-2623
ELIZABETH CUMBERLAND NP
Nurse Practitioner (Family)
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 625-4031
DR. IGNACIO JUSUE TORRES M.D.
Neurological Surgery
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 625-1811
OMAR G FERRER ARNP
Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 625-4031
JENNA JACKSON PHARM.D., R.PH.
Pharmacist
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 594-2999
SHARON R BRANDT CRNA
Nurse Anesthetist, Certified Registered
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 625-4031
RIPUDAMANJIT SINGH MD
Internal Medicine (Interventional Cardiology)
1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 625-4031

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 Adam Anderson's NPI number?

The NPI number for Adam Anderson is 1467569962. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Adam Anderson located?

Adam Anderson practices at 1025 Marsh St, Mankato, MN 56001. The listed phone number is (507) 340-2011.

What is Adam Anderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Adam Anderson enrolled in Medicare?

Yes. Adam Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adam Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Anderson reassigns Medicare benefits to Mayo Clinic (Rochester, MN). 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 Adam 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 Adam Anderson was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.