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DR. KATHY M ANDERSON M.D.
NPI 1942405923
Pediatrics in Bismarck, ND

Active since June 19, 2007PECOS Enrolled
1930 BURNT BOAT DR., SUITE B, BISMARCK, ND 58503(701) 490-9596 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2025, May 6, 2020, Mar 23, 2020 (3 updates tracked since 2020).

About Dr. Kathy M Anderson M.d. NPPES

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

DR. KATHY M ANDERSON M.D. (NPI 1942405923) is an individual pediatrics provider in Bismarck, North Dakota, licensed in North Dakota (11368) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bismarck.

NPPES Registry Identity

NPI1942405923
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATHY M ANDERSONCredential: M.D.
Location Address1930 BURNT BOAT DR., SUITE BBismarck, ND 58503
Mailing Address1930 Burnt Boat Dr., Suite BBismarck, ND 58503 · (701) 490-9596
Phone(701) 490-9596
Sole ProprietorYes
Enumeration DateJune 19, 2007
Last NPPES UpdateJanuary 6, 20253 updates tracked since enumeration
NPPES CertifiedMay 6, 2020
✔ NPI 1942405923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ND · 11368
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1930 BURNT BOAT DR., Bismarck, ND 58503
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Secondary Practice Location 1

Location 15119 Fountainblue DrBismarck, ND 58503-8893 · Phone (401) 952-0293

Other Identifiers 1

Medicaid1460870ND

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.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. Kathy M Anderson M.d. 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 Kathy Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurturing Wellness Pediatrics, PLLC
2.7 mi
Pediatrics
1500 INTERCHANGE AVE STE 200
Bismarck, ND 58501
  • Reassigned Medicare billing, North Dakota enrollment
NPI 1619503760 (401) 952-0293

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 58503 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

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 Kathy Anderson's NPI number?

The NPI number for Kathy Anderson is 1942405923. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Kathy Anderson located?

Kathy Anderson practices at 1930 Burnt Boat Dr. Suite B, Bismarck, ND 58503. The listed phone number is (701) 490-9596.

What is Kathy Anderson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kathy Anderson enrolled in Medicare?

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

Which organization bills Medicare for Kathy Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Anderson reassigns Medicare benefits to Nurturing Wellness Pediatrics, PLLC (Bismarck, ND). 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 Kathy Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathy Anderson accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kathy 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 Kathy Anderson was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.