MRS. PENELOPE ALEJANDRA ANDERSON (NP) – Family Nurse Practitioner, NPI 1306436993

MRS. PENELOPE ALEJANDRA ANDERSON (NP) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2236270 (GA). The NPI Number for MRS. PENELOPE ALEJANDRA ANDERSON (NP) is 1306436993

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. PENELOPE ALEJANDRA ANDERSON (NP)
NPI
1306436993
Phone
(770) 874-5400
Address
5665 NEW NORTHSIDE DR STE 200
Enumeration Date
19 January 2021
Last Update Date
19 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8449946633
Graduation Year
2020 (6 years ago)
PAC ID
9739595307
Group Practice PAC ID
9537425533
Professional Enrollment ID
I20210305000136
Address ID
GA302693538PE2011XNXXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. PENELOPE ALEJANDRA ANDERSON (NP)

  • 5665 NEW NORTHSIDE DR STE 200

    ATLANTA, GA 303284617

    Phone: (770) 874-5400

    Type: Mailing

  • 303 PARKWAY DR NE

    ATLANTA, GA 303121212

    Phone: (404) 265-4136

    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: 2021-03-05

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
I20210305000136INurse PractitionerGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes1515$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes1411$0
View full utilization report →

Insurance plans in this area (ZIP 30328)

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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: 9537425533View full group profile
NameSpecialtyState
Emergency MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA
-TX
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What NPI should I save for MRS. PENELOPE ALEJANDRA ANDERSON (NP)?
Save NPI 1306436993 if you need a stable reference for MRS. PENELOPE ALEJANDRA ANDERSON (NP).
Is MRS. PENELOPE ALEJANDRA ANDERSON (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MRS. PENELOPE ALEJANDRA ANDERSON (NP) treat or focus on?
Patients typically see MRS. PENELOPE ALEJANDRA ANDERSON (NP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. PENELOPE ALEJANDRA ANDERSON (NP)?
The snapshot lists Atlanta, Georgia for MRS. PENELOPE ALEJANDRA ANDERSON (NP); download NPPES for the complete set.
Is MRS. PENELOPE ALEJANDRA ANDERSON (NP) a real provider?
This page reflects official NPPES data for NPI 1306436993. Always confirm identity and privileges with the practice and licensing boards.

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