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AUGUSTA LEANA ANDERSON APRN
NPI 1639708209
Nurse Practitioner - Family in Bonifay, FL

Active since April 06, 2020PECOS Enrolled
3120 SOUTHRIDE LN, BONIFAY, FL 32425(850) 547-4440(850) 547-4441 Get Directions Write a Review

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

Record update history: Sep 24, 2021, Sep 8, 2021, Apr 6, 2020 (3 updates tracked since 2020).

About Augusta Leana Anderson Aprn NPPES

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

AUGUSTA LEANA ANDERSON APRN (NPI 1639708209) is an individual family provider in Bonifay, Florida, licensed in Florida (11015260) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bonifay.

NPPES Registry Identity

NPI1639708209
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAUGUSTA LEANA ANDERSONCredential: APRN
Location Address3120 SOUTHRIDE LNBonifay, FL 32425-3325
Mailing Address3120 Southride LnBonifay, FL 32425-3325 · (850) 547-4440
Phone(850) 547-4440
Fax(850) 547-4441
Sole ProprietorYes
Enumeration DateApril 6, 2020
Last NPPES UpdateSeptember 24, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
✔ NPI 1639708209 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 FL · 11015260
Also ListedRegistered NurseTaxonomy 163W00000X · License 9459929 (FL)
3120 SOUTHRIDE LN, Bonifay, FL 32425
Open in Google Maps ↗

Secondary Practice Location 1

Location 11938 Gully Creek RdBonifay, FL 32425-9179 · Phone (850) 768-9429

Other Identifiers 1

OtherAPRN11015260FL · Doh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Augusta Leana Anderson Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32425 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 3

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

SHELBY JOHNSON WHITEHEAD APRN
Nurse Practitioner (Family)
3120 SOUTHRIDE LN
BONIFAY, FL 32425
Holmes County (850) 547-4440
MRS. MEAGHAN S. TAYLOR ARNP
Nurse Practitioner (Women's Health)
3120 SOUTHRIDE LN
BONIFAY, FL 32425
Holmes County (850) 547-4440
HAWKINS FAMILY MEDICINE LLC
Family Medicine
3120 SOUTHRIDE LN
BONIFAY, FL 32425
Holmes County (850) 547-4440

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 Augusta Anderson's NPI number?

The NPI number for Augusta Anderson is 1639708209. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Augusta Anderson located?

Augusta Anderson practices at 3120 Southride Ln, Bonifay, FL 32425. The listed phone number is (850) 547-4440.

What is Augusta Anderson's specialty?

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

Is Augusta Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Augusta Anderson was last updated on September 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.