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ANGELICA ANDERSON APRN
NPI 1619709078
Nurse Practitioner - Family in Lebanon, KY

Active since August 15, 2024PECOS EnrolledAccepts Medicare Assignment
429 W WALNUT ST, LEBANON, KY 40033(270) 295-1010 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2025, Aug 15, 2024 (2 updates tracked since 2024).

About Angelica Anderson Aprn NPPES

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

ANGELICA ANDERSON APRN (NPI 1619709078) is an individual family provider in Lebanon, Kentucky, licensed in Kentucky (4026321) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Spring View Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619709078
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELICA ANDERSONCredential: APRN
Location Address429 W WALNUT STLebanon, KY 40033-1346
Mailing Address546 Clell Mattingly RdRaywick, KY 40060-7573 · (270) 295-1010
Phone(270) 295-1010
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 15, 2024
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1619709078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 4026321
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 4026321 (KY)
429 W WALNUT ST, Lebanon, KY 40033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angelica Anderson Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022542133
PECOS Enrollment IDI20241112003962
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spring View Hospital

Acute Care Hospitals · Lebanon, KY
4/5 CMS rating
OwnershipProprietary
CMS Certification Number180024
Location320 Loretto RoadLebanon, KY 40033 · Marion County
Emergency services Birthing friendly

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180087
Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40033 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES M. SMITH M.D.
Surgery
429 W WALNUT ST
LEBANON, KY 40033
Marion County (270) 699-4602
BIO-MEDICAL APPLICATIONS OF KENTUCKY, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
429 W WALNUT ST
LEBANON, KY 40033
Marion County (270) 699-2530
ONE CROSS COMMUNITY, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
429 W WALNUT ST
LEBANON, KY 40033
Marion County (270) 789-0034
DR. KEVIN D SLENTZ MD
Surgery
429 W WALNUT ST
LEBANON, KY 40033
Marion County (502) 868-5617

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 Angelica Anderson's NPI number?

The NPI number for Angelica Anderson is 1619709078. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Where is Angelica Anderson located?

Angelica Anderson practices at 429 W Walnut St, Lebanon, KY 40033. The listed phone number is (270) 295-1010.

What is Angelica Anderson's specialty?

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

Is Angelica Anderson enrolled in Medicare?

Yes. Angelica Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Angelica Anderson affiliated with any hospitals?

According to CMS data, Angelica Anderson is affiliated with Spring View Hospital and Taylor Regional Hospital.

When was this NPI record last updated?

The NPPES record for Angelica Anderson was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.