KAITLYN ANDERSON
NPI 1811409089
Optometrist in Maple Grove, MN
About Kaitlyn Anderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLYN ANDERSON (NPI 1811409089) is an individual optometrist in Maple Grove, Minnesota, licensed in Minnesota (3538) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kaitlyn Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Kaitlyn Anderson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hudson, WI 54016
- Reassigned Medicare billing, Wisconsin enrollment
- 187 clinicians in this Medicare group
Austin, MN 55912
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- Also billed through NPI 1154699445 (Wisconsin)
- 76 clinicians in this Medicare group
Duluth, MN 55811
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 42 clinicians in this Medicare group
Madison, WI 53719
- Reassigned Medicare billing, Wisconsin enrollment
- 64 clinicians in this Medicare group
Syracuse, NY 13224
- Reassigned Medicare billing, New York enrollment
- 243 clinicians in this Medicare group
Concord, NH 03301
- Reassigned Medicare billing, New Hampshire enrollment
- 62 clinicians in this Medicare group
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 55369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kaitlyn Anderson's NPI number?
The NPI number for Kaitlyn Anderson is 1811409089. It was assigned to this individual provider in the NPPES registry on October 27, 2017.
Where is Kaitlyn Anderson located?
Kaitlyn Anderson practices at 8081 Wedgewood Ln N, Maple Grove, MN 55369. The listed phone number is (763) 416-3795.
What is Kaitlyn Anderson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kaitlyn Anderson enrolled in Medicare?
Yes. Kaitlyn Anderson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kaitlyn Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Anderson reassigns Medicare benefits to 6 organizations: Shoptikal LLC (Hudson, WI), Visionworks, Inc. (Austin, MN), Vision Pro II Inc (Duluth, MN), Wisconsin Vision, LLC (Madison, WI), Empire Vision Center Inc (Syracuse, NY) and 1 more organization, listed in the Medicare section above. 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 Kaitlyn Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaitlyn Anderson accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 8 other insurers list Kaitlyn 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 Kaitlyn Anderson was last updated on October 27, 2017. 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.
# Kaitlyn Anderson · NPI 1811409089
Optometrist provider in Maple Grove, Minnesota. Individual provider, active in the CMS NPPES registry since October 27, 2017.
## Identity
- **NPI:** 1811409089 (Entity type: Individual)
- **Enumerated:** October 27, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3538 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 8081 WEDGEWOOD LN N, Maple Grove, MN 55369-9412
- **Phone:** (763) 416-3795
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Shoptikal LLC (NPI 1851982771, Hudson, WI); Visionworks, Inc. (NPI 1881962173, Austin, MN); Vision Pro II Inc (NPI 1982756789, Duluth, MN); Wisconsin Vision, LLC (NPI 1447398649, Madison, WI); Empire Vision Center Inc (NPI 1750358826, Syracuse, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 27, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1811409089) · Data from the CMS NPPES public registry.