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CARLI SHANNON ANDERSON PA
NPI 1982554853
Student in an Organized Health Care Education/Training Program in Winfield, TN

Active since January 30, 2026PECOS Enrolled
1034 ALDERVILLE RD, WINFIELD, TN 37892(423) 215-5850 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Carli Shannon Anderson Pa NPPES

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

CARLI SHANNON ANDERSON PA (NPI 1982554853) is an individual student in an organized health care education/training program in Winfield, Tennessee and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982554853
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCARLI SHANNON ANDERSONCredential: PA
Location Address1034 ALDERVILLE RDWinfield, TN 37892-3687
Mailing Address1034 Alderville RdWinfield, TN 37892-3687 · (423) 215-5850
Phone(423) 215-5850
Sole ProprietorYes
Enumeration DateJanuary 30, 2026
NPPES CertifiedJanuary 30, 2026
✔ NPI 1982554853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1034 ALDERVILLE RD, Winfield, TN 37892
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carli Shannon Anderson Pa 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.

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 Carli Anderson's NPI number?

The NPI number for Carli Anderson is 1982554853. It was assigned to this individual provider in the NPPES registry on January 30, 2026.

Where is Carli Anderson located?

Carli Anderson practices at 1034 Alderville Rd, Winfield, TN 37892. The listed phone number is (423) 215-5850.

What is Carli Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carli Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Carli Anderson was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.