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ANDREA ANDERSON PMHNP
NPI 1760065023
Nurse Practitioner - Psychiatric/Mental Health in Mason City, IA

Active since May 04, 2021PECOS EnrolledAccepts Medicare Assignment
250 S CRESCENT DR, MASON CITY, IA 50401(641) 494-5401 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2021, May 4, 2021 (2 updates tracked since 2021).

About Andrea Anderson Pmhnp NPPES

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

ANDREA ANDERSON PMHNP (NPI 1760065023) is an individual psychiatric/mental health provider in Mason City, Iowa, licensed in Iowa (G163180) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760065023
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANDREA ANDERSONCredential: PMHNP
Location Address250 S CRESCENT DRMason City, IA 50401-2926
Mailing Address602 Douglas St ESwaledale, IA 50477-8860 · (641) 420-0690
Phone(641) 494-5401
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 4, 2021
Last NPPES UpdateMay 14, 20212 updates tracked since enumeration
NPPES CertifiedMay 14, 2021
✔ NPI 1760065023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IA · G163180
Also ListedNurse PractitionerTaxonomy 363L00000X · License G163180 (IA)
250 S CRESCENT DR, Mason City, IA 50401
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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 NH Healthy Families, Ambetter from Sunflower Health Plan 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

Andrea Anderson Pmhnp 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 ID3476953837
PECOS Enrollment IDI20210607003162
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
266 services102 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
184 services69 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
152 services83 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160064
Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County
Emergency services Birthing friendly

Hancock County Health System

Critical Access Hospitals · Britt, IA
OwnershipGovernment - Local
CMS Certification Number161307
Location532 1st St NWBritt, IA 50423 · Hancock County
Emergency services

Franklin General Hospital

Critical Access Hospitals · Hampton, IA
OwnershipGovernment - Local
CMS Certification Number161308
Location1720 Central Avenue EastHampton, IA 50441 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES 20

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

LISA HOLT PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5170
DR. RENE RECINOS M.D., PHD
Plastic Surgery
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5360
DR. ANGELA KAYE HARVEY AU.D.
Audiologist
250 S CRESCENT DR, #100
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5180
DR. MICHAEL W CRANE M.D.
Orthopaedic Surgery
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5210
KAITLYN ELIZABETH MCDERMITT PA-C
Physician Assistant
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5400
TRISHA LYNN TIBBITTS ARNP
Nurse Practitioner (Family)
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5360
MASON CITY CLINIC PC
Otolaryngology
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (800) 622-1411
DR. BYRON T BEASLEY MD
Internal Medicine (Cardiovascular Disease)
250 S CRESCENT DR
MASON CITY, IA 50401
Cerro Gordo County (641) 494-5300

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 Andrea Anderson's NPI number?

The NPI number for Andrea Anderson is 1760065023. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Andrea Anderson located?

Andrea Anderson practices at 250 S Crescent Dr, Mason City, IA 50401. The listed phone number is (641) 494-5401.

What is Andrea Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Andrea Anderson enrolled in Medicare?

Yes. Andrea 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 Andrea Anderson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Andrea 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.

Is Andrea Anderson affiliated with any hospitals?

According to CMS data, Andrea Anderson is affiliated with Mercyone North Iowa Medical Center, Hancock County Health System and Franklin General Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Anderson was last updated on May 14, 2021. 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.