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DR. MARK ELLIOTT ANDERSON MD
NPI 1720721715
Student in an Organized Health Care Education/Training Program in Cookeville, TN

Active since April 18, 2022PECOS Enrolled
250 WILSHIRE DR, COOKEVILLE, TN 38506(931) 510-6480 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 19, 2025, Jun 9, 2022, Apr 18, 2022 (3 updates tracked since 2022).

About Dr. Mark Elliott Anderson Md NPPES

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

DR. MARK ELLIOTT ANDERSON MD (NPI 1720721715) is an individual student in an organized health care education/training program in Cookeville, Tennessee and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720721715
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MARK ELLIOTT ANDERSONCredential: MD
Location Address250 WILSHIRE DRCookeville, TN 38506-5548
Mailing Address250 Wilshire DrCookeville, TN 38506-5548 · (931) 510-6480
Phone(931) 510-6480
Sole ProprietorNo
Enumeration DateApril 18, 2022
Last NPPES UpdateDecember 19, 20253 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1720721715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
250 WILSHIRE DR, Cookeville, TN 38506
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Elliott Anderson Md 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.

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 Mark Anderson's NPI number?

The NPI number for Mark Anderson is 1720721715. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Mark Anderson located?

Mark Anderson practices at 250 Wilshire Dr, Cookeville, TN 38506. The listed phone number is (931) 510-6480.

What is Mark Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mark Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Anderson was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.