JUSTIN ANDERSON
NPI 1750015897
Physician Assistant in Burke, SD

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: July 19, 2026.

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

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
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

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

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.

Family Medicine
809 JACKSON ST
BURKE, SD 57523
Nurse Practitioner (Family)
809 JACKSON ST
BURKE, SD 57523
Family Medicine
809 JACKSON ST
BURKE, SD 57523
General Acute Care Hospital (Critical Access)
809 JACKSON ST
BURKE, SD 57523
Nurse Practitioner (Family)
809 JACKSON ST
BURKE, SD 57523
Clinic/Center (Critical Access Hospital)
809 JACKSON ST
BURKE, SD 57523
Family Medicine
809 JACKSON ST
BURKE, SD 57523
Home Health
809 JACKSON ST
BURKE, SD 57523

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750015897, enumerated as an "individual" on July 14, 2022.

The provider is located at 809 JACKSON ST BURKE, SD 57523 and the phone number is (605) 775-2621.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Justin Anderson is affiliated with: COMMUNITY MEMORIAL HOSPITAL.