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NICOLE ANDERSON FNP
NPI 1508472846
Nurse Practitioner - Family in Los Angeles, CA

Active since September 22, 2020PECOS Enrolled
4650 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 361-7682 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2024, Sep 22, 2020 (2 updates tracked since 2020).

About Nicole Anderson Fnp NPPES

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

NICOLE ANDERSON FNP (NPI 1508472846) is an individual family provider in Los Angeles, California, licensed in California (95015195) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508472846
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE ANDERSONCredential: FNP
Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062
Mailing Address27547 Caraway LnSanta Clarita, CA 91350-1720 · (805) 443-2165
Phone(323) 361-7682
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 22, 2020
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1508472846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95015195
4650 W SUNSET BLVD, Los Angeles, CA 90027
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5092109041
PECOS Enrollment IDI20260624003128
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 90027 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

DR. MARK HENDRIK CORDEN M.D.
Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-8893
MS. ROBERTA MIYEKO KATO MD
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2101
CHILDREN'S HOSPITAL LOS ANGELES
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3644
JESSICA ELIZABETH GREIM DPT, PT
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (310) 361-2118
MOLLY CEVASCO PH.D., BCBA
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
GINNY KIM THAN NP
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3033
DOUGLAS SHAPIRO MD
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 660-2450
ALEXANDRA LYNN JOSTES MD
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2122

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 Nicole Anderson's NPI number?

The NPI number for Nicole Anderson is 1508472846. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Nicole Anderson located?

Nicole Anderson practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 361-7682.

What is Nicole Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Anderson was last updated on April 24, 2024. 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.