VIVIAN ANDERSON – Certified Registered Nurse Anesthetist, NPI 1063144210

VIVIAN ANDERSON is a healthcare provider. based in West burlington, Iowa. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 167251 (IA). The NPI Number for VIVIAN ANDERSON is 1063144210

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
VIVIAN ANDERSON
NPI
1063144210
Phone
(319) 768-1000
Address
1221 S GEAR AVE
Enumeration Date
27 June 2022
Last Update Date
31 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3197681000
Graduation Year
2022 (4 years ago)
PAC ID
9234505470
Group Practice PAC ID
3870496417
Professional Enrollment ID
I20221013001211
Address ID
IA526551679WE1221XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

522 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IA

Provider Addresses for VIVIAN ANDERSON

  • 1221 S GEAR AVE

    WEST BURLINGTON, IA 526551679

    Phone: (319) 768-1000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2024-05-31 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($56).

Total Amount

$76

General + Research + Ownership

Payments

4

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-31

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: 2022-10-13

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
I20221013001211ICertified Registered Nurse Anesthetist (Crna)IATBD

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
00410Anesthesia for procedure to correct abnormal heart rhythm1414$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
00840Anesthesia for other procedure on lower abdomen1313$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 52655)

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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: 3870496417View full group profile
NameSpecialtyState
P S Y C H I A T R YIA
P S Y C H I A T R YIA
Internal Medicine, Hospitalist, Internal MedicineIA
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA
Family PracticeIA
Internal Medicine, Hospitalist, Internal MedicineTN
Certified Registered Nurse Anesthetist (Crna)IA
Rheumatology, Internal MedicineOH
O B S T E T R I C S/ G Y N E C O L O G YIA

Reviews

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Frequently asked questions

Can I verify VIVIAN ANDERSON with an NPI only?
You can start verification with NPI 1063144210 for VIVIAN ANDERSON, then check state licensing separately.
Can I rely on VIVIAN ANDERSON being an active provider?
As of the registry snapshot, VIVIAN ANDERSON is marked active.
What taxonomy line describes VIVIAN ANDERSON?
For research purposes, treat VIVIAN ANDERSON as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What area does VIVIAN ANDERSON serve?
VIVIAN ANDERSON's listing highlights West Burlington, Iowa; more addresses can appear in NPPES.
Is the information about VIVIAN ANDERSON up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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