JESSICA ANDERSON (APRN) – Gerontology Nurse Practitioner, NPI 1033916465

JESSICA ANDERSON (APRN) is a healthcare provider. based in Lithia, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11036857 (FL). The NPI Number for JESSICA ANDERSON (APRN) is 1033916465

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA ANDERSON (APRN)
NPI
1033916465
Phone
(813) 393-0278
Address
5903 CHERT HILL LN
Enumeration Date
25 February 2025
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
8136616199
Graduation Year
2024 (2 years ago)
PAC ID
9931622156
Group Practice PAC ID
5092874909
Professional Enrollment ID
I20250328001371
Address ID
FL335797196RI13127DRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JESSICA ANDERSON (APRN)

  • 5903 CHERT HILL LN

    LITHIA, FL 335474098

    Phone: (813) 393-0278

    Type: Mailing

  • 13127 VAIL RIDGE DR

    RIVERVIEW, FL 335797196

    Phone: (813) 393-0278

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250328001371INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33547)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092874909View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Nurse PractitionerFL
Cardiovascular Disease (Cardiology)FL
Interventional CardiologyFL
Nurse PractitionerFL
Nurse PractitionerFL
Cardiovascular Disease (Cardiology)FL
Interventional Cardiology, Cardiovascular Disease (Cardiology)KS
-OH

Reviews

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Frequently asked questions

How do I look up JESSICA ANDERSON (APRN) by NPI?
Use NPI 1033916465 when you need to reference JESSICA ANDERSON (APRN) in forms, claims, or directories.
Is JESSICA ANDERSON (APRN) active in the national directory?
JESSICA ANDERSON (APRN)'s public NPI profile is in an active state.
What does JESSICA ANDERSON (APRN) treat or focus on?
Patients typically see JESSICA ANDERSON (APRN) under the specialty Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JESSICA ANDERSON (APRN)?
We surface Lithia, Florida for JESSICA ANDERSON (APRN) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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