RAVEN ANDERSON PA-C
NPI 1669005195
Physician Assistant in Tampa, FL
About Raven Anderson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAVEN ANDERSON PA-C (NPI 1669005195) is an individual physician assistant in Tampa, Florida, licensed in Florida (PA9116058) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tampa, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Raven Anderson Pa-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Raven Anderson's NPI number?
The NPI number for Raven Anderson is 1669005195. It was assigned to this individual provider in the NPPES registry on February 12, 2020.
Where is Raven Anderson located?
Raven Anderson practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (813) 745-4673.
What is Raven Anderson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Raven Anderson enrolled in Medicare?
Yes. Raven 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.
What insurance does Raven Anderson accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and Wellpoint list Raven 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 Raven Anderson was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Raven Anderson, PA-C · NPI 1669005195
Physician Assistant physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since February 12, 2020.
## Identity
- **NPI:** 1669005195 (Entity type: Individual)
- **Enumerated:** February 12, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA9116058 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12902 USF MAGNOLIA DR, Tampa, FL 33612-9416
- **Phone:** (813) 745-4673
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669005195) · Data from the CMS NPPES public registry.