SHANDON WELLS ANDERSON (APRN-C) – Primary Care Nurse Practitioner, NPI 1609349265

SHANDON WELLS ANDERSON (APRN-C) is a healthcare provider. based in Osawatomie, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-C. They hold a License No. TMP-157777 (KS). The NPI Number for SHANDON WELLS ANDERSON (APRN-C) is 1609349265

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
SHANDON WELLS ANDERSON (APRN-C)
NPI
1609349265
Phone
(913) 369-5200
Address
37540 CRESCENT HILL RD
Enumeration Date
7 January 2019
Last Update Date
22 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7852293367
Graduation Year
2018 (8 years ago)
PAC ID
2163760695
Group Practice PAC ID
4486996907
Professional Enrollment ID
I20190208000267
Address ID
KS660673537OT1301XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:7State licenses:2Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

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Provider Addresses for SHANDON WELLS ANDERSON (APRN-C)

  • 37540 CRESCENT HILL RD

    OSAWATOMIE, KS 660645181

    Phone: (913) 369-5200

    Type: Mailing

  • Miami County Medical Center, 2100, Baptiste Drive, Paola, Miami County, Kansas, 66071, United States

    PAOLA, KS 660711314

    Phone: (913) 294-2327

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($37).

Total Amount

$55

General + Research + Ownership

Payments

3

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2019-02-08

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
I20190208000267INurse PractitionerKSTBD

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
20610Aspiration and/or injection of fluid from large joint2519$0
99213Established patient office or other outpatient visit, 20-29 minutes1817$0
99214Established patient office or other outpatient visit, 30-39 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 66064)

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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: 4486996907View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)KS
-KS
U R O L O G YKS
Family PracticeKS
Internal Medicine, Pulmonary DiseaseKS
Family PracticeMO
Family PracticeKS
O B S T E T R I C S/ G Y N E C O L O G YKS
Pulmonary Disease, Internal Medicine, Sleep Medicine, Physical Medicine And RehabilitationMA
Mental Health CounselorKS

Reviews

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Frequently asked questions

What federal number belongs to SHANDON WELLS ANDERSON (APRN-C)?
The federal identifier for SHANDON WELLS ANDERSON (APRN-C) is NPI 1609349265.
Does this profile mean SHANDON WELLS ANDERSON (APRN-C) is currently active?
Yes — SHANDON WELLS ANDERSON (APRN-C) appears active in the national provider directory.
What field does SHANDON WELLS ANDERSON (APRN-C) work in?
You can think of SHANDON WELLS ANDERSON (APRN-C) as practicing within Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place SHANDON WELLS ANDERSON (APRN-C)?
The snapshot lists Osawatomie, Kansas for SHANDON WELLS ANDERSON (APRN-C); download NPPES for the complete set.
How can I contact SHANDON WELLS ANDERSON (APRN-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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