DR. KELLY R ANDERSON DO
NPI 1780670828
General Practice in Vincennes, IN

Q: What is Kelly Anderson's NPI number?

The NPI number for Kelly Anderson is 1780670828. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Q: What is Kelly Anderson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Anderson was last updated on April 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment

520 S 7TH ST, VINCENNES, IN 47591(812) 885-3810(812) 885-3811 Get Directions Write a Review

NPPES record last updated: April 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kelly R Anderson Do NPPES

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

DR. KELLY R ANDERSON DO (NPI 1780670828) is an individual general practice provider in Vincennes, Indiana, licensed in Indiana (02001311A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1985).

NPPES Registry Identity

NPI1780670828

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. KELLY R ANDERSONCredential: DO

Location Address520 S 7TH STVincennes, IN 47591-1038

Mailing Address520 S 7th StVincennes, IN 47591-1038 · (812) 885-3685 · Fax (812) 885-3917

Phone(812) 885-3810

Fax(812) 885-3811

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1985

Enumeration DateSeptember 23, 2005

Last NPPES UpdateApril 20, 2018

✔ NPI 1780670828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IN · 02001311A

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

520 S 7TH ST, Vincennes, IN 47591

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Other Identifiers 2

Medicaid200022500IN

Other000000110680IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Kelly R Anderson Do 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 ID446319560

PECOS Enrollment IDI20100215000059

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

203 services191 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

48 services46 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number150042

Location520 S 7th StVincennes, IN 47591 · Knox County

Emergency services Birthing friendly

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.

DENNIS MARTIN JILKA MD

General Practice

520 S 7TH ST
VINCENNES, IN 47591

Knox County (812) 885-6980

DR. ALAN D STEWART M.D.

Internal Medicine

520 S 7TH ST
VINCENNES, IN 47591

Knox County (812) 885-3601

MR. RYAN ROSS BOND PHARMD

Pharmacist

520 S 7TH ST
VINCENNES, IN 47591

Knox County (812) 882-5220

ELLEN KEYES PHARM.D.

Pharmacist

520 S 7TH ST
VINCENNES, IN 47591

Knox County (812) 885-3863

MARTIN CHRISTOPHER JAMES WINKLER

Physician Assistant

520 S 7TH ST
VINCENNES, IN 47591

Knox County (812) 882-5220

MR. MARK E. SHIELDS R.PH.

Pharmacist

520 S 7TH ST, PHARMACY DEPARTMENT
VINCENNES, IN 47591

Knox County (812) 885-3348

ALLYSON MICHELLE WEHRHEIM PA-C

Physician Assistant (Medical)

520 S 7TH ST
VINCENNES, IN 47591

Knox County (812) 882-5220

DR. SHAWN CURRY MD

Internal Medicine

520 S 7TH ST
VINCENNES, IN 47591

Knox County (812) 885-6990

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 Kelly Anderson's NPI number?

The NPI number for Kelly Anderson is 1780670828. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Kelly Anderson located?

Kelly Anderson practices at 520 S 7th St, Vincennes, IN 47591. The listed phone number is (812) 885-3810.

What is Kelly Anderson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kelly Anderson enrolled in Medicare?

Yes. Kelly 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 Kelly Anderson accept?

Health plans from CareSource list Kelly 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 Kelly Anderson affiliated with any hospitals?

According to CMS data, Kelly Anderson is affiliated with Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Anderson was last updated on April 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.