MS. ANDREA YURIKO ANDERSEN RDN
NPI 1801384474
Dietitian, Registered in Surprise, AZ

Q: What is Andrea Andersen's NPI number?

The NPI number for Andrea Andersen is 1801384474. It was assigned to this individual provider in the NPPES registry on April 28, 2018.

Q: What is Andrea Andersen's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Andersen was last updated on April 28, 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 April 28, 2018

15211 W PORT ROYALE LN, SURPRISE, AZ 85379(623) 341-8546 Get Directions Write a Review

NPPES record last updated: April 28, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ms. Andrea Yuriko Andersen Rdn NPPES

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

MS. ANDREA YURIKO ANDERSEN RDN (NPI 1801384474) is an individual dietitian, registered in Surprise, Arizona, licensed in Arizona (86056677) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1801384474

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMS. ANDREA YURIKO ANDERSENCredential: RDN

Location Address15211 W PORT ROYALE LNSurprise, AZ 85379-7011

Mailing Address15211 W Port Royale LnSurprise, AZ 85379-7011 · (623) 341-8546

Phone(623) 341-8546

Sole ProprietorYes

Enumeration DateApril 28, 2018

✔ NPI 1801384474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in AZ · 86056677

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

15211 W PORT ROYALE LN, Surprise, AZ 85379

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Andrea Yuriko Andersen Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Mountain Park Health Center

12 mi

Federally Qualified Health Center (FQHC)

6975 W GLENDALE AVE
Glendale, AZ 85303

Reassigned Medicare billing, Arizona enrollment
166 clinicians in this Medicare group

NPI 1316637481 (602) 243-7277

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

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 Andersen's NPI number?

The NPI number for Andrea Andersen is 1801384474. It was assigned to this individual provider in the NPPES registry on April 28, 2018.

Where is Andrea Andersen located?

Andrea Andersen practices at 15211 W Port Royale Ln, Surprise, AZ 85379. The listed phone number is (623) 341-8546.

What is Andrea Andersen's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Andrea Andersen enrolled in Medicare?

Yes. Andrea Andersen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Andersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Andersen reassigns Medicare benefits to Mountain Park Health Center (Glendale, AZ). 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 Andrea Andersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Andersen accept?

Health plans from Blue Cross Blue Shield of Arizona list Andrea Andersen 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.

When was this NPI record last updated?

The NPPES record for Andrea Andersen was last updated on April 28, 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.