DR. MONICA ELAINE ANDERSON DDS
NPI 1851022669
Dentist - General Practice in Portland, ME

Active since June 22, 2022PECOS Enrolled
190 PARK AVE, PORTLAND, ME 04102(207) 874-1028 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Monica Elaine Anderson Dds NPPES

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

DR. MONICA ELAINE ANDERSON DDS (NPI 1851022669) is an individual general practice provider in Portland, Maine, licensed in Maine (DEN5237) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851022669
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MONICA ELAINE ANDERSONCredential: DDS
Location Address190 PARK AVEPortland, ME 04102-1000
Mailing Address28 Hackamore Ave Unit 348Scarborough, ME 04074-6407 · (713) 816-4832
Sole ProprietorNo
Enumeration DateJune 22, 2022
Last NPPES UpdateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
✔ NPI 1851022669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ME · DEN5237
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
190 PARK AVE, Portland, ME 04102

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)

Dr. Monica Elaine Anderson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

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

Family Medicine
10 MILES NE OF SR264 MP362, ROCKY RIDGE SCHOOL STREET
Kykotsmovi, AZ 86039
  • Reassigned Medicare billing, Texas enrollment
  • 540 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 04102 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
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 14

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

Dentist
190 PARK AVE
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
190 PARK AVE
PORTLAND, ME 04102
Dentist
190 PARK AVE
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
190 PARK AVE
PORTLAND, ME 04102
Dentist (General Practice)
190 PARK AVE
PORTLAND, ME 04102
Dentist (General Practice)
190 PARK AVE
PORTLAND, ME 04102
Dentist
190 PARK AVE
PORTLAND, ME 04102
Dentist
190 PARK AVE
PORTLAND, ME 04102

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 Monica Anderson's NPI number?

The NPI number for Monica Anderson is 1851022669. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Monica Anderson located?

Monica Anderson practices at 190 Park Ave, Portland, ME 04102. The listed phone number is (207) 874-1028.

What is Monica Anderson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Monica Anderson enrolled in Medicare?

Yes. Monica Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Monica Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Anderson reassigns Medicare benefits to Tuba City Regional Health Care Corporation (Kykotsmovi, 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 Monica Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Anderson accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Monica 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 Monica Anderson was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.