LA TONYA ANDERSON APRN
NPI 1710580618
Nurse Practitioner - Primary Care in South Holland, IL

Active since November 21, 2020PECOS EnrolledAccepts Medicare Assignment
956 E 152ND ST, SOUTH HOLLAND, IL 60473(773) 354-5656 Get Directions Write a Review

NPPES record last updated: November 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 and is a graduate of Other (2020).

NPPES Registry Identity

NPI1710580618
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLA TONYA ANDERSONCredential: APRN
Location Address956 E 152ND STSouth Holland, IL 60473-1142
Mailing Address956 E 152nd StSouth Holland, IL 60473-1142 · (773) 354-5656
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 21, 2020
NPPES CertifiedNovember 21, 2020
NPI 1710580618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in IL · 209022426
956 E 152ND ST, South Holland, IL 60473

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

La Tonya Anderson Aprn 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.

PECOS PAC ID244648293
PECOS Enrollment IDI20240105003608
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 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.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.