NICOLE ANDERSON FNP
NPI 1508472846
Nurse Practitioner - Family in Los Angeles, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Anderson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Arcadia, CA 91006
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
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 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.
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.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
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.
Which organization bills Medicare for Nicole Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Anderson reassigns Medicare benefits to Ted Shen M.D., Inc (Arcadia, CA). 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 Nicole 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 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.
# Nicole Anderson, FNP · NPI 1508472846
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since September 22, 2020.
## Identity
- **NPI:** 1508472846 (Entity type: Individual)
- **Enumerated:** September 22, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95015195 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4650 W SUNSET BLVD, Los Angeles, CA 90027-6062
- **Phone:** (323) 361-7682
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ted Shen M.D., Inc (NPI 1568788016, Arcadia, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508472846) · Data from the CMS NPPES public registry.