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JAMES ANDERSON NP
NPI 1992080915
Nurse Practitioner - Acute Care in Sacramento, CA

Active since October 21, 2011PECOS EnrolledAccepts Medicare Assignment
77 CADILLAC DR, SUITE NUMBER 210, SACRAMENTO, CA 95825(916) 325-1040 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Anderson Np NPPES

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

JAMES ANDERSON NP (NPI 1992080915) is an individual acute care provider in Sacramento, California, licensed in Utah (330854-4405) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1992080915
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJAMES ANDERSONCredential: NP
Location Address77 CADILLAC DR, SUITE NUMBER 210Sacramento, CA 95825-5453
Mailing Address1525 Knight CtDixon, CA 95620-4267 · (707) 693-6850
Phone(916) 325-1040
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 21, 2011
Last NPPES UpdateApril 7, 2020
NPPES CertifiedApril 7, 2020
✔ NPI 1992080915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in UT · 330854-4405
77 CADILLAC DR, Sacramento, CA 95825
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Anderson Np 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.

PECOS PAC ID9739355595
PECOS Enrollment IDI20150818003529
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,259 services222 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
165 services56 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
127 services118 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
111 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
102 services97 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services40 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Lone Peak Hospital

Acute Care Hospitals · Draper, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460060
Location11925 South State StreetDraper, UT 84020 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95825 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%213 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers12 claims12 services$74.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

THOMAS ANDREW SHRAGG M.D.
Internal Medicine (Pulmonary Disease)
77 CADILLAC DR, SUITE 210
SACRAMENTO, CA 95825
Sacramento County (916) 325-1040
TANYA MAAGDENBERG M.D.
Obstetrics & Gynecology
77 CADILLAC DR, SUITE 230
SACRAMENTO, CA 95825
Sacramento County (916) 920-2082
EMILIA CHO MD
Pediatrics
77 CADILLAC DR, SUITE 200
SACRAMENTO, CA 95825
Sacramento County (916) 561-5911
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP, INC.
Urology
77 CADILLAC DR, SUITE 130/180
SACRAMENTO, CA 95825
Sacramento County (916) 900-3993
RINGWALD MEDICAL CORPORATION
Pediatrics
77 CADILLAC DR, STE. 200
SACRAMENTO, CA 95825
Sacramento County (916) 561-5911
DR. SHAREEN CHAR-FAT D.D.S.
Dentist (General Practice)
77 CADILLAC DR, SUITE 270
SACRAMENTO, CA 95825
Sacramento County (916) 925-9222
MATTHEW JAMES SUSANKA M.D.
Obstetrics & Gynecology
77 CADILLAC DR, 230
SACRAMENTO, CA 95825
Sacramento County (916) 920-2082
LIFECENTER SACRAMENTO LLC
Clinic/Center (Ambulatory Surgical)
77 CADILLAC DR
SACRAMENTO, CA 95825
Sacramento County (760) 914-3477

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 James Anderson's NPI number?

The NPI number for James Anderson is 1992080915. It was assigned to this individual provider in the NPPES registry on October 21, 2011.

Where is James Anderson located?

James Anderson practices at 77 Cadillac Dr Suite Number 210, Sacramento, CA 95825. The listed phone number is (916) 325-1040.

What is James Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is James Anderson enrolled in Medicare?

Yes. James 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.

What insurance does James Anderson accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and Regence BlueCross BlueShield of Utah list James 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.

Is James Anderson affiliated with any hospitals?

According to CMS data, James Anderson is affiliated with University Of Utah Hospitals And Clinics, Intermountain Medical Center, Intermountain Health Alta View Hospital, St Mark's Hospital and Lone Peak Hospital.

When was this NPI record last updated?

The NPPES record for James Anderson was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.