COLTON MICHAEL ANDERSEN DO
NPI 1477246023
Student in an Organized Health Care Education/Training Program in Mesa, AZ

Active since May 31, 2023PECOS Enrolled
1301 S CRISMON RD, MESA, AZ 85209(480) 354-3200(480) 354-0391 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colton Michael Andersen Do NPPES

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

COLTON MICHAEL ANDERSEN DO (NPI 1477246023) is an individual student in an organized health care education/training program in Mesa, Arizona and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477246023
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCOLTON MICHAEL ANDERSENCredential: DO
Location Address1301 S CRISMON RDMesa, AZ 85209-3767
Mailing Address1301 S Crismon RdMesa, AZ 85209-3767 · (480) 354-3200
Fax(480) 354-0391
Sole ProprietorNo
Enumeration DateMay 31, 2023
NPPES CertifiedMay 31, 2023
NPI 1477246023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1301 S CRISMON RD, Mesa, AZ 85209

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Colton Michael Andersen Do 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.

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.

Radiology (Diagnostic Radiology)
1301 S CRISMON RD
MESA, AZ 85209
Pediatrics (Neonatal-Perinatal Medicine)
1301 S CRISMON RD
MESA, AZ 85209
Nurse Anesthetist, Certified Registered
1301 S CRISMON RD
MESA, AZ 85209
Internal Medicine
1301 S CRISMON RD
MESA, AZ 85209
Surgery
1301 S CRISMON RD
MESA, AZ 85209
Family Medicine
1301 S CRISMON RD
MESA, AZ 85209
Student in an Organized Health Care Education/Training Program
1301 S CRISMON RD
MESA, AZ 85209
Internal Medicine (Gastroenterology)
1301 S CRISMON RD
MESA, AZ 85209

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 Colton Andersen's NPI number?

The NPI number for Colton Andersen is 1477246023. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Where is Colton Andersen located?

Colton Andersen practices at 1301 S Crismon Rd, Mesa, AZ 85209. The listed phone number is (480) 354-3200.

What is Colton Andersen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Colton Andersen enrolled in Medicare?

Yes. Colton Andersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colton Andersen was last updated on May 31, 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.