CARRIE L ANDERSON – Family Nurse Practitioner, NPI 1033515036

CARRIE L ANDERSON is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209012068 (IL). The NPI Number for CARRIE L ANDERSON is 1033515036

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
CARRIE L ANDERSON
NPI
1033515036
Phone
(312) 695-6868
Address
680 N LAKE SHORE DR
Enumeration Date
18 November 2014
Last Update Date
13 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5867714820
Graduation Year
2013 (13 years ago)
PAC ID
3870819998
Group Practice PAC ID
1052223492
Professional Enrollment ID
I20240808002135
Address ID
MI480813203SA20952RDXX503
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for CARRIE L ANDERSON

  • 680 N LAKE SHORE DR

    CHICAGO, IL 606114546

    Phone: (312) 695-6868

    Type: Mailing

  • 259 E ERIE ST

    CHICAGO, IL 606112987

    Phone: (312) 695-6868

    Type: Location

  • 1725 W HARRISON ST STE 207

    CHICAGO, IL 606123988

    Phone: (312) 942-5861

    Fax: (312) 942-7394

    Type: Mailing

  • 20952 E 12 MILE RD STE 200

    SAINT CLAIR SHORES, MI 480813203

    Phone: (586) 771-4820

    Fax: (586) 771-7960

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $626.

Total Amount is formed as General ($626) + Research ($0) + Ownership ($0) = $626.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Medtronic, Inc. ($459).

Total Amount

$626

General + Research + Ownership

Payments

10

Total payment records

General Amount

$626

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150309002189INurse PractitionerILTBD
I20240808002135INurse PractitionerMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8449$0
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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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: 1052223492View full group profile
NameSpecialtyState
U R O L O G YMI
U R O L O G YMI
U R O L O G YOK
Radiation OncologyFL
Nurse PractitionerMI
U R O L O G YMI
U R O L O G YMI
U R O L O G YMI
Physical Therapist In Private PracticeMI
U R O L O G YMI

Reviews

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Frequently asked questions

What is the standard ID for CARRIE L ANDERSON in the U.S.?
In the U.S., CARRIE L ANDERSON is identified by NPI 1033515036.
Is CARRIE L ANDERSON's NPI status active today?
Active status means CARRIE L ANDERSON's NPI record is not deactivated in the public file.
How should patients interpret CARRIE L ANDERSON's specialty?
The extract shows Family Nurse Practitioner for CARRIE L ANDERSON. Clinical services aligned with this taxonomy classification.
What city is tied to CARRIE L ANDERSON?
The directory associates CARRIE L ANDERSON with Chicago, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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