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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaime Anderson Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 39 days 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
## Record status
- **NPPES last updated:** July 11, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1811730161) · Data from the CMS NPPES public registry.