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

Q: 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.

Q: What is Susan Anderson's specialty?

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

Q: 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 14 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.

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: August 16, 2026.

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

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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

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Other Identifiers 2

Other813670NV · State License

Medicaid1790428712NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)