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SUSAN ANDERSON FNP
NPI 1790428712
Nurse Practitioner - Family in Henderson, NV

Active since April 18, 2022PECOS Enrolled
2739 SUNRIDGE HEIGHTS PKWY STE 100, HENDERSON, NV 89052(702) 553-3635(833) 973-5084 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2025, Jul 11, 2022, Apr 19, 2022 (3 updates tracked since 2022).

About Susan Anderson Fnp NPPES

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

SUSAN ANDERSON FNP (NPI 1790428712) is an individual family provider in Henderson, Nevada, licensed in Nevada (813670) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790428712
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN ANDERSONCredential: FNP
Location Address2739 SUNRIDGE HEIGHTS PKWY STE 100Henderson, NV 89052-5043
Mailing Address2739 Sunridge Heights Pkwy Ste 100Henderson, NV 89052-5043 · (702) 553-3635 · Fax (833) 973-5084
Phone(702) 553-3635
Fax(833) 973-5084
Sole ProprietorNo
Enumeration DateApril 18, 2022
Last NPPES UpdateMay 29, 20253 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1790428712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · 813670
2739 SUNRIDGE HEIGHTS PKWY STE 100, Henderson, NV 89052
Open in Google Maps ↗

Other Identifiers 2

Other813670NV · State License
Medicaid1790428712NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Anderson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intermountain Medical Holdings Nevada Inc
6.7 mi
Internal Medicine
595 W LAKE MEAD PKWY
Henderson, NV 89015
  • Reassigned Medicare billing, Nevada enrollment
  • 521 clinicians in this Medicare group
NPI 1245997279 (702) 566-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.
18 services18 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 5

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

EVERSIDE HEALTH LOCAL 14 HENDERSON DISPENSING
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
2739 SUNRIDGE HEIGHTS PKWY STE 100
HENDERSON, NV 89052
Clark County (704) 661-1380
EVERSIDE HEALTH LLC
Clinic/Center (Primary Care)
2739 SUNRIDGE HEIGHTS PKWY STE 100
HENDERSON, NV 89052
Clark County (702) 728-5806
RENEE CONKLIN R.D.
Dietitian, Registered
2739 SUNRIDGE HEIGHTS PKWY STE 100
HENDERSON, NV 89052
Clark County (702) 728-5806
EVERSIDE HEALTH, LLC
Clinic/Center
2739 SUNRIDGE HEIGHTS PKWY STE 100
HENDERSON, NV 89052
Clark County (702) 728-5806
EVERSIDE HEALTH, LLC
Clinic/Center (Primary Care)
2739 SUNRIDGE HEIGHTS PKWY STE 100
HENDERSON, NV 89052
Clark County (702) 728-5806

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 Susan Anderson's NPI number?

The NPI number for Susan Anderson is 1790428712. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Susan Anderson located?

Susan Anderson practices at 2739 Sunridge Heights Pkwy Ste 100, Henderson, NV 89052. The listed phone number is (702) 553-3635.

What is Susan Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susan Anderson enrolled in Medicare?

Yes. Susan Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Anderson reassigns Medicare benefits to Intermountain Medical Holdings Nevada Inc (Henderson, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Anderson was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.