JUSTIN ANDERSON
NPI 1750015897
Physician Assistant in Burke, SD

Q: What is Justin Anderson's NPI number?

The NPI number for Justin Anderson is 1750015897. It was assigned to this individual provider in the NPPES registry on July 14, 2022.

Q: What is Justin Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Anderson was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 14, 2022PECOS EnrolledAccepts Medicare Assignment

809 JACKSON ST, BURKE, SD 57523(605) 775-2621(605) 775-2564 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2025, Jul 9, 2024, Jul 14, 2022 (3 updates tracked since 2022).

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About Justin Anderson NPPES

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

JUSTIN ANDERSON (NPI 1750015897) is an individual physician assistant in Burke, South Dakota, licensed in South Dakota (3119) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Community Memorial Hospital, and is a graduate of University Of Nebraska College Of Medicine (2024).

NPPES Registry Identity

NPI1750015897

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJUSTIN ANDERSON

Location Address809 JACKSON STBurke, SD 57523-2065

Mailing Address809 Jackson StBurke, SD 57523-2065 · (605) 775-2621 · Fax (605) 775-2564

Phone(605) 775-2621

Fax(605) 775-2564

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2024

Enumeration DateJuly 14, 2022

Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration

NPPES CertifiedDecember 23, 2025

✔ NPI 1750015897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SD · 3119

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

809 JACKSON ST, Burke, SD 57523

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Justin Anderson 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 ID8527504372

PECOS Enrollment IDI20240729002223, I20251030001362

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Memorial Hospital

Critical Access Hospitals · Burke, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431309

Location809 JacksonBurke, SD 57523 · Gregory County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57523 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

BRITTNEY MICHELE KORTHALS CNP

Nurse Practitioner (Family)