KASSANDRA ELIZABETH ANDERSON FNP-C
NPI 1619626652
Nurse Practitioner - Family in Tyler, MN
About Kassandra Elizabeth Anderson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KASSANDRA ELIZABETH ANDERSON FNP-C (NPI 1619626652) is an individual family provider in Tyler, Minnesota, licensed in Minnesota (9047) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Hendricks Community Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kassandra Elizabeth Anderson Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kassandra Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tyler, MN 56178
- Reassigned Medicare billing, Minnesota enrollment
- 52 clinicians in this Medicare group
Granite Falls, MN 56241
- Reassigned Medicare billing, Minnesota enrollment
- 82 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hendricks Community Hospital
Critical Access Hospitals · Hendricks, MNAvera Granite Falls
Critical Access Hospitals · Granite Falls, MNAvera Tyler Hospital
Critical Access Hospitals · Tyler, MNAvera Marshall Regional Medical Ctr
Critical Access Hospitals · Marshall, MNPipestone County Medical Center
Critical Access Hospitals · Pipestone, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56178 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TYLER, MN 56178
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 Kassandra Anderson's NPI number?
The NPI number for Kassandra Anderson is 1619626652. It was assigned to this individual provider in the NPPES registry on March 18, 2022.
Where is Kassandra Anderson located?
Kassandra Anderson practices at 240 Willow St, Tyler, MN 56178. The listed phone number is (507) 247-5521.
What is Kassandra Anderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kassandra Anderson enrolled in Medicare?
Yes. Kassandra Anderson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kassandra Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kassandra Anderson reassigns Medicare benefits to 2 organizations: Avera Tyler (Tyler, MN) and Avera Granite Falls (Granite Falls, MN). Each 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 Kassandra Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kassandra Anderson accept?
Health plans from Avera Health Plans and Sanford Health Plan list Kassandra 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.
Is Kassandra Anderson affiliated with any hospitals?
According to CMS data, Kassandra Anderson is affiliated with Hendricks Community Hospital, Avera Granite Falls, Avera Tyler Hospital, Avera Marshall Regional Medical Ctr and Pipestone County Medical Center.
When was this NPI record last updated?
The NPPES record for Kassandra Anderson was last updated on March 18, 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.
# Kassandra Elizabeth Anderson, FNP-C · NPI 1619626652
Family physician in Tyler, Minnesota. Individual provider, active in the CMS NPPES registry since March 18, 2022.
## Identity
- **NPI:** 1619626652 (Entity type: Individual)
- **Enumerated:** March 18, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9047 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 240 WILLOW ST, Tyler, MN 56178-1201
- **Phone:** (507) 247-5521
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Avera Tyler (NPI 1801840517, Tyler, MN); Avera Granite Falls (NPI 1700429644, Granite Falls, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1619626652) · Data from the CMS NPPES public registry.