MRS. MICHELLE ANNMARIE ANDERSON RN
NPI 1972742146
Nurse Practitioner - Psychiatric/Mental Health in Fairburn, GA
About Mrs. Michelle Annmarie Anderson Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MICHELLE ANNMARIE ANDERSON RN (NPI 1972742146) is an individual psychiatric/mental health provider in Fairburn, Georgia, licensed in Arizona (336085) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Michelle Annmarie Anderson Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Michelle Anderson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kennesaw, GA 30144
- Reassigned Medicare billing, Georgia enrollment
Silver Spring, MD 20910
- Reassigned Medicare billing, Georgia enrollment
- 48 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, Georgia enrollment
- 47 clinicians in this Medicare group
Fulton, MD 20759
- Reassigned Medicare billing, Georgia enrollment
- 67 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Washington enrollment
- 317 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 30213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Michelle Anderson's NPI number?
The NPI number for Michelle Anderson is 1972742146. It was assigned to this individual provider in the NPPES registry on February 11, 2009.
Where is Michelle Anderson located?
Michelle Anderson practices at 115 Blacktop Dr, Fairburn, GA 30213. The listed phone number is (770) 969-1125.
What is Michelle Anderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Michelle Anderson enrolled in Medicare?
Yes. Michelle Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Michelle Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Anderson reassigns Medicare benefits to 5 organizations: Nu-Life Nursing & Provider Services, LLC (Kennesaw, GA), Ennoble Hc Dmv II LLC (Silver Spring, MD), Ennoble Hc Dmv III LLC (Silver Spring, MD), Ennoble Hc Dmv LLC (Fulton, MD) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Michelle Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michelle Anderson accept?
Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Michelle 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 Michelle Anderson was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Michelle Annmarie Anderson, RN · NPI 1972742146
Psychiatric/Mental Health physician in Fairburn, Georgia. Individual provider, active in the CMS NPPES registry since February 11, 2009.
## Identity
- **NPI:** 1972742146 (Entity type: Individual)
- **Enumerated:** February 11, 2009
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 336085 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 115 BLACKTOP DR, Fairburn, GA 30213-4442
- **Phone:** (770) 969-1125
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Nu-Life Nursing & Provider Services, LLC (NPI 1134088248, Kennesaw, GA); Ennoble Hc Dmv II LLC (NPI 1134002900, Silver Spring, MD); Ennoble Hc Dmv III LLC (NPI 1922981695, Silver Spring, MD); Ennoble Hc Dmv LLC (NPI 1104492115, Fulton, MD); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972742146) · Data from the CMS NPPES public registry.