NANCY PHIPPS ANDERSON (CRNP) – Family Nurse Practitioner, NPI 1043228497

NANCY PHIPPS ANDERSON (CRNP) is a healthcare provider. based in Port st joe, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1075808 (AL). The NPI Number for NANCY PHIPPS ANDERSON (CRNP) is 1043228497

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
NANCY PHIPPS ANDERSON (CRNP)
NPI
1043228497
Phone
(850) 229-5661
Address
3871 E HIGHWAY 98
Enumeration Date
3 August 2006
Last Update Date
21 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
4688850001
Group Practice PAC ID
9830231034
Professional Enrollment ID
I20130102000458
Address ID
FL324565302PO3871X98XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for NANCY PHIPPS ANDERSON (CRNP)

  • 3871 E HIGHWAY 98

    SUITE 203

    PORT ST JOE, FL 324565301

    Phone: (850) 229-5661

    Fax: (850) 229-5662

    Type: Location

  • Pensacola Avenue, Caversham, Perth, Western Australia, 6055, Australia

    PENSACOLA, FL 325132699

    Phone: (850) 229-5661

    Fax: (850) 229-5662

    Type: Mailing

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: 2013-01-02

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
I20130102000458INurse 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 32456)

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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: 9830231034View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerIN
Cardiovascular Disease (Cardiology)FL
-FL
-FL
-FL
Nurse PractitionerFL
Family PracticeMT
Nurse PractitionerFL
-OH

Reviews

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Frequently asked questions

What number should I use to identify NANCY PHIPPS ANDERSON (CRNP) for billing?
Administrative and clinical systems typically use NPI 1043228497 for NANCY PHIPPS ANDERSON (CRNP).
Is NANCY PHIPPS ANDERSON (CRNP) currently accepting referrals based on NPI status?
Registry metadata lists NANCY PHIPPS ANDERSON (CRNP) as active.
Which specialty label fits NANCY PHIPPS ANDERSON (CRNP)?
NPPES ties NANCY PHIPPS ANDERSON (CRNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NANCY PHIPPS ANDERSON (CRNP)?
NANCY PHIPPS ANDERSON (CRNP) is associated with Port St Joe, Florida in the same public data insurers reference.
Can I export NANCY PHIPPS ANDERSON (CRNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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