MS. ELIZABETH JOANNE ANDERSON PA-C
NPI 1629158399
Physician Assistant - Medical in Grand Rapids, MI

Q: What is Elizabeth Anderson's NPI number?

The NPI number for Elizabeth Anderson is 1629158399. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Elizabeth Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since October 17, 2006PECOS Enrolled

1545 68TH ST SE, SUITE 100, GRAND RAPIDS, MI 49508(616) 267-7881(616) 267-7641 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 24, 2021, Nov 11, 2015 (2 updates tracked since 2015).

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About Ms. Elizabeth Joanne Anderson Pa-c NPPES

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

MS. ELIZABETH JOANNE ANDERSON PA-C (NPI 1629158399) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601004734) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629158399

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. ELIZABETH JOANNE ANDERSONCredential: PA-C

Location Address1545 68TH ST SE, SUITE 100Grand Rapids, MI 49508-7896

Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-7881

Fax(616) 267-7641

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2021

✔ NPI 1629158399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601004734

1545 68TH ST SE, Grand Rapids, MI 49508

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Elizabeth Joanne Anderson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 11

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

DR. PETER W OLSON M.D.

Internal Medicine

1545 68TH ST SE, SUITE 200
GRAND RAPIDS, MI 49508

Kent County (616) 267-8100

MICHIGAN MEDICAL PATIENT CARE

Internal Medicine (Pulmonary Disease)

1545 68TH ST SE
GRAND RAPIDS, MI 49508

Kent County (616) 949-8244

DR. LESLEY ANN REID MD

Pediatrics

1545 68TH ST SE, SUITE 100
GRAND RAPIDS, MI 49508

Kent County (616) 267-7881

MEGAN CATHERINE BOLEMA

Behavior Technician

1545 68TH ST SE
KENTWOOD, MI 49508

Kent County (844) 244-1818

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Pediatrics

1545 68TH ST SE
GRAND RAPIDS, MI 49508

Kent County (616) 534-9881

ERICA L BUCHHOLZ RBT

Behavior Technician

1545 68TH ST SE
KENTWOOD, MI 49508

Kent County (844) 854-1116

MYA CHARITY EASON

Behavior Technician

1545 68TH ST SE
KENTWOOD, MI 49508

Kent County (616) 253-6097

ALLEN JAMES FOX

Behavior Technician

1545 68TH ST SE
KENTWOOD, MI 49508

Kent County (616) 253-6097

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 Elizabeth Anderson's NPI number?

The NPI number for Elizabeth Anderson is 1629158399. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Elizabeth Anderson located?

Elizabeth Anderson practices at 1545 68th St SE Suite 100, Grand Rapids, MI 49508. The listed phone number is (616) 267-7881.

What is Elizabeth Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Elizabeth Anderson enrolled in Medicare?

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

What insurance does Elizabeth Anderson accept?

Health plans from Priority Health list Elizabeth 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 Elizabeth Anderson was last updated on February 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.