LA TONYA ANDERSON APRN
NPI 1710580618
Nurse Practitioner - Primary Care in South Holland, IL
About La Tonya Anderson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LA TONYA ANDERSON APRN (NPI 1710580618) is an individual primary care provider in South Holland, Illinois, licensed in Illinois (209022426) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
La Tonya Anderson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show La Tonya Anderson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Munster, IN 46321
- Reassigned Medicare billing, Illinois and Indiana enrollments
- 4 clinicians in this Medicare group
Burr Ridge, IL 60527
- Reassigned Medicare billing, Illinois enrollment
- 189 clinicians in this Medicare group
Rochelle, IL 61068
- Reassigned Medicare billing, Illinois enrollment
- 37 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Indiana enrollment
- 90 clinicians in this Medicare group
Suwanee, GA 30024
- Reassigned Medicare billing, Illinois enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 La Tonya Anderson's NPI number?
The NPI number for La Tonya Anderson is 1710580618. It was assigned to this individual provider in the NPPES registry on November 21, 2020.
Where is La Tonya Anderson located?
La Tonya Anderson practices at 956 E 152nd St, South Holland, IL 60473. The listed phone number is (773) 354-5656.
What is La Tonya Anderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is La Tonya Anderson enrolled in Medicare?
Yes. La Tonya Anderson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for La Tonya Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), La Tonya Anderson reassigns Medicare benefits to 5 organizations: Arthur H. Katz, M.D., S.C. (Munster, IN), Vpa PC (Burr Ridge, IL), Rochelle Community Hospital Association (Rochelle, IL), Theoria Medical (Novi, MI) and Vitality Ageless Center LLC (Suwanee, GA). 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 La Tonya Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does La Tonya Anderson accept?
Health plans from CareSource list La Tonya 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 La Tonya Anderson was last updated on November 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# La Tonya Anderson, APRN · NPI 1710580618
Primary Care physician in South Holland, Illinois. Individual provider, active in the CMS NPPES registry since November 21, 2020.
## Identity
- **NPI:** 1710580618 (Entity type: Individual)
- **Enumerated:** November 21, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 209022426 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 956 E 152ND ST, South Holland, IL 60473-1142
- **Phone:** (773) 354-5656
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Arthur H. Katz, M.D., S.C. (NPI 1598832750, Munster, IN); Vpa PC (NPI 1629692785, Burr Ridge, IL); Rochelle Community Hospital Association (NPI 1821053216, Rochelle, IL); Theoria Medical (NPI 1609362375, Novi, MI); Vitality Ageless Center LLC (NPI 1730657271, Suwanee, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1710580618) · Data from the CMS NPPES public registry.