MS. DORA ANDERSON CFNP
NPI 1932142502
Nurse Practitioner - Family in Jackson, MS

Q: What is Dora Anderson's NPI number?

The NPI number for Dora Anderson is 1932142502. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Dora Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Dora Anderson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 13, 2006PECOS Enrolled

3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321(601) 362-5321 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Dora Anderson Cfnp NPPES

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

MS. DORA ANDERSON CFNP (NPI 1932142502) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R701564) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932142502

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. DORA ANDERSONCredential: CFNP

Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454

Mailing Address3502 W Northside DrJackson, MS 39213-4454 · (601) 362-5321 · Fax (601) 362-5321

Phone(601) 362-5321

Fax(601) 362-5321

Sole ProprietorNo

Enumeration DateJune 13, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1932142502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R701564

3502 W NORTHSIDE DR, Jackson, MS 39213

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Other Identifiers 2

Medicare UPINP41986MS

Medicaid00120569MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Dora Anderson Cfnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39213 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 20

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

MRS. TIFFANI RICCHELE MCKNIGHT

Social Worker (Clinical)