DR. COURTNEY ALLISON ANDERSON D.D.S
NPI 1568678985
Dentist - Oral and Maxillofacial Surgery in Mankato, MN

Active since May 15, 2007Opted out of Medicare · through Sep 5, 2027
1410 MADISON AVE, MANKATO, MN 56001(507) 344-8698(507) 344-8759 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Courtney Allison Anderson D.d.s NPPES

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

DR. COURTNEY ALLISON ANDERSON D.D.S (NPI 1568678985) is an individual oral and maxillofacial surgery provider in Mankato, Minnesota, licensed in Minnesota (D11673) and active in the NPI registry since May 2007. She has opted out of Medicare through September 5, 2027.

NPPES Registry Identity

NPI1568678985
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. COURTNEY ALLISON ANDERSONCredential: D.D.S
Location Address1410 MADISON AVEMankato, MN 56001-5440
Mailing Address1410 Madison AveMankato, MN 56001-5440 · (507) 344-8698 · Fax (507) 344-8759
Fax(507) 344-8759
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
NPI 1568678985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MN · D11673
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 6669 (WI)
1410 MADISON AVE, Mankato, MN 56001

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Courtney Allison Anderson D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 5, 2023 through September 5, 2027.

Opt-Out Effective DateSeptember 5, 2023
Opt-Out In Effect ThroughSeptember 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Courtney Anderson's NPI number?

The NPI number for Courtney Anderson is 1568678985. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Courtney Anderson located?

Courtney Anderson practices at 1410 Madison Ave, Mankato, MN 56001. The listed phone number is (507) 344-8698.

What is Courtney Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Courtney Anderson enrolled in Medicare?

No. Courtney Anderson has opted out of Medicare through September 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Courtney Anderson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Courtney 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 Courtney Anderson was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.