1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Physician Assistant
  6. NPI Profile

KEVIN NOLAN ANDERSON
NPI 1790336709
Physician Assistant in Philadelphia, PA

Active since September 23, 2019PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-1000 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Nolan Anderson NPPES

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

KEVIN NOLAN ANDERSON (NPI 1790336709) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA060948) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790336709
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN NOLAN ANDERSON
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address2001 Spring Garden St Apt 203Philadelphia, PA 19130-5011 · (315) 730-9398
Phone(215) 590-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 23, 2019
✔ NPI 1790336709 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 PA · MA060948
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.

3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
Open in Google Maps ↗

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

Kevin Nolan 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 ID5193141596
PECOS Enrollment IDI20200817000924
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 20

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

ELIZABETH A JAMME MD
Pediatrics
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
MEENA THAYU M.D.
Pediatrics (Pediatric Gastroenterology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
RICHARD M DONNER M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
MARIANNE M GLANZMAN M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ABIGAIL F FARBER M.D.
Pediatrics
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
BEVERLY J LANGE M.D.
Pediatrics (Pediatric Hematology-Oncology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
PAUL J HONIG M.D.
Dermatology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ROSANNA POLLACK CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, 4TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4953

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 Kevin Anderson's NPI number?

The NPI number for Kevin Anderson is 1790336709. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Kevin Anderson located?

Kevin Anderson practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.

What is Kevin Anderson's specialty?

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

Is Kevin Anderson enrolled in Medicare?

Yes. Kevin 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.

When was this NPI record last updated?

The NPPES record for Kevin Anderson was last updated on September 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.