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DR. ANGELLE ANDERSON MD
NPI 1801456728
Family Medicine in Dallas, TX

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment
6300 SAMUELL BLVD STE 120, DALLAS, TX 75228(214) 381-1910(214) 381-2868 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2026, Dec 7, 2024, May 25, 2023 and 1 more (4 updates tracked since 2019).

About Dr. Angelle Anderson Md NPPES

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

DR. ANGELLE ANDERSON MD (NPI 1801456728) is an individual family medicine provider in Dallas, Texas, licensed in Texas (U3461) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Meharry Medical College School Of Medicine (2019).

NPPES Registry Identity

NPI1801456728
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANGELLE ANDERSONCredential: MD
Location Address6300 SAMUELL BLVD STE 120Dallas, TX 75228-7100
Mailing Address6300 Samuell Blvd Ste 120Dallas, TX 75228-7100 · (214) 381-1910 · Fax (214) 381-2868
Phone(214) 381-1910
Fax(214) 381-2868
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2019
Enumeration DateJune 13, 2019
Last NPPES UpdateAugust 24, 20264 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1801456728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · U3461
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6300 SAMUELL BLVD STE 120, Dallas, TX 75228
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11605 N Garland Ave Ste AGarland, TX 75040-9418 · Phone (469) 609-7483
Location 22040 N Belt Line Rd Ste 200Mesquite, TX 75150-5802 · Phone (214) 381-1910 · Fax (214) 381-2868

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Angelle Anderson Md 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 ID1658725635
PECOS Enrollment IDI20230925002365
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 Reassignments

2

Medicare enrollment records show Angelle Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grace Southern Medical Clinic, PLLC
Same address
Primary Care
6300 SAMUELL BLVD STE 120
Dallas, TX 75228
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1821486358 (214) 381-1910
Union Medical Center PLLC
9.8 mi
Family Medicine
1605 N GARLAND AVE STE A
Garland, TX 75040
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1083453708 (214) 501-4135

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75228 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 4

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

CHRISTABEL OBUSEH PA-C
Physician Assistant
6300 SAMUELL BLVD STE 120
DALLAS, TX 75228
Dallas County (214) 381-1910
LAURA ELENA RAMIREZ PA-C
Physician Assistant
6300 SAMUELL BLVD STE 120
DALLAS, TX 75228
Dallas County (214) 381-1910
MAYRA SINDELAR
Nurse Practitioner (Family)
6300 SAMUELL BLVD STE 120
DALLAS, TX 75228
Dallas County (915) 540-3106
GRACE SOUTHERN MEDICAL CLINIC, PLLC
Clinic/Center (Primary Care)
6300 SAMUELL BLVD STE 120
DALLAS, TX 75228
Dallas County (214) 381-1910

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 Angelle Anderson's NPI number?

The NPI number for Angelle Anderson is 1801456728. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Angelle Anderson located?

Angelle Anderson practices at 6300 Samuell Blvd Ste 120, Dallas, TX 75228. The listed phone number is (214) 381-1910.

What is Angelle Anderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Angelle Anderson enrolled in Medicare?

Yes. Angelle 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.

Which organizations bill Medicare for Angelle Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelle Anderson reassigns Medicare benefits to 2 organizations: Grace Southern Medical Clinic, PLLC (Dallas, TX) and Union Medical Center PLLC (Garland, TX). Each 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 Angelle Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angelle Anderson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Angelle 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.

When was this NPI record last updated?

The NPPES record for Angelle Anderson was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.