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SHAUNTE E ANDERSON FNP
NPI 1639717218
Nurse Practitioner - Family in Gardena, CA

Active since December 14, 2019PECOS Enrolled
1025 W 190TH ST STE 450, GARDENA, CA 90248(310) 782-1177 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2025, Jan 19, 2020, Dec 14, 2019 (3 updates tracked since 2019).

About Shaunte E Anderson Fnp NPPES

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

SHAUNTE E ANDERSON FNP (NPI 1639717218) is an individual family provider in Gardena, California, licensed in California (95012291) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639717218
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAUNTE E ANDERSONCredential: FNP
Location Address1025 W 190TH ST STE 450Gardena, CA 90248-4339
Mailing Address13089 Peyton DrChino Hills, CA 91709-6018 · (562) 682-5091
Phone(310) 782-1177
Sole ProprietorYes
Enumeration DateDecember 14, 2019
Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1639717218 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 CA · 95012291
Also ListedFamily MedicineTaxonomy 207Q00000X · License 95012991 (CA)
1025 W 190TH ST STE 450, Gardena, CA 90248
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaunte E Anderson Fnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shaunte Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Concertocare Medical Group Of California, P.C.
19 mi
Internal Medicine
7677 CENTER AVE STE 214
Huntington Beach, CA 92647
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Concertocare Medical Group Of California PC
  • 46 clinicians in this Medicare group
NPI 1922777259 (877) 597-1440
Seasons Medical Group Of California Incorporated
94 mi
Hospice and Palliative Medicine
9915 MIRA MESA BLVD STE 370
San Diego, CA 92131
  • Reassigned Medicare billing, California enrollment
  • 38 clinicians in this Medicare group
NPI 1790239473 (858) 592-2000

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 8

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.

Restorigin, per square centimeter Q4191
Restorigin is a medical procedure that helps in the regeneration of skin tissue. It's typically used for wound healing and involves the application of skin cells to the affected area. The service is charged per square centimeter, relating to the size of the treatment area.
1,380 services11 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
364 services23 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
297 services37 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
196 services69 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
183 services81 patients
Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less 15272
This procedure involves applying a skin substitute graft to a wound on your trunk, arms, or legs. The graft, which is a type of artificial skin, helps promote healing by covering the wound. This description refers to additional grafts for wounds up to 100 sq cm.
126 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90248 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.87 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shaunte Anderson's NPI number?

The NPI number for Shaunte Anderson is 1639717218. It was assigned to this individual provider in the NPPES registry on December 14, 2019.

Where is Shaunte Anderson located?

Shaunte Anderson practices at 1025 W 190th St Ste 450, Gardena, CA 90248. The listed phone number is (310) 782-1177.

What is Shaunte Anderson's specialty?

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

Is Shaunte Anderson enrolled in Medicare?

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

Which organizations bill Medicare for Shaunte Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaunte Anderson reassigns Medicare benefits to 2 organizations: Concertocare Medical Group Of California, P.C. (Huntington Beach, CA) and Seasons Medical Group Of California Incorporated (San Diego, CA). 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 Shaunte Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shaunte Anderson was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.