SUMMER MOFFAT ANDERSON PA-C
NPI 1689328692
Physician Assistant - Medical in Birmingham, MI

Active since February 08, 2022PECOS Enrolled
122 E BROWN ST, BIRMINGHAM, MI 48009(248) 731-2155 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2023, Feb 8, 2022 (2 updates tracked since 2022).

About Summer Moffat Anderson Pa-c NPPES

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

SUMMER MOFFAT ANDERSON PA-C (NPI 1689328692) is an individual medical provider in Birmingham, Michigan, licensed in Michigan (5601011036) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Orion.

NPPES Registry Identity

NPI1689328692
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUMMER MOFFAT ANDERSONCredential: PA-C
Location Address122 E BROWN STBirmingham, MI 48009-6201
Mailing Address43141 Woodward AveBloomfield Hills, MI 48302-5005 · (248) 333-0333
Sole ProprietorYes
Enumeration DateFebruary 8, 2022
Last NPPES UpdateFebruary 10, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
NPI 1689328692 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 · 5601011036
122 E BROWN ST, Birmingham, MI 48009

Secondary Practice Location 1

Location 11430 S Lapeer RdLake Orion, MI 48360-1437 · Phone (248) 693-0543

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Summer Moffat 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 3

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

Clinic/Center
122 E BROWN ST
BIRMINGHAM, MI 48009
Internal Medicine
122 E BROWN ST
BIRMINGHAM, MI 48009
Internal Medicine
122 E BROWN ST
BIRMINGHAM, MI 48009

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 Summer Anderson's NPI number?

The NPI number for Summer Anderson is 1689328692. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Where is Summer Anderson located?

Summer Anderson practices at 122 E Brown St, Birmingham, MI 48009. The listed phone number is (248) 731-2155.

What is Summer Anderson's specialty?

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

Is Summer Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Summer Anderson was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.