JAIME ANDERSON CRNP
NPI 1811730161
Nurse Practitioner - Gerontology in Philadelphia, PA
About Jaime Anderson Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAIME ANDERSON CRNP (NPI 1811730161) is an individual gerontology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP029794) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaime Anderson Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaime Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 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 19104 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Jaime Anderson's NPI number?
The NPI number for Jaime Anderson is 1811730161. It was assigned to this individual provider in the NPPES registry on June 14, 2024.
Where is Jaime Anderson located?
Jaime Anderson practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (267) 438-6854.
What is Jaime Anderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Jaime Anderson enrolled in Medicare?
Yes. Jaime Anderson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaime Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaime Anderson reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). 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 Jaime 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 Jaime Anderson was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jaime Anderson, CRNP · NPI 1811730161
Gerontology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 14, 2024.
## Identity
- **NPI:** 1811730161 (Entity type: Individual)
- **Enumerated:** June 14, 2024
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** SP029794 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (267) 438-6854
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Penn-Medical Group (NPI 1073902169, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1811730161) · Data from the CMS NPPES public registry.