REBECCA A ANDERSON (P.A.) – Physician Assistant, NPI 1720054182

REBECCA A ANDERSON (P.A.) is a healthcare provider. based in Lawrence, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 15-00320 (KS). The NPI Number for REBECCA A ANDERSON (P.A.) is 1720054182

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA A ANDERSON (P.A.)
NPI
1720054182
Phone
(785) 830-0100
Address
4921 W 18TH ST
Enumeration Date
27 February 2006
Last Update Date
2 September 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
9136329100
Graduation Year
2004 (22 years ago)
PAC ID
7315830841
Group Practice PAC ID
9537119037
Professional Enrollment ID
I20040206000575
Address ID
KS662042217ME9301XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for REBECCA A ANDERSON (P.A.)

  • 4921 W 18TH ST

    LAWRENCE, KS 660472090

    Phone: (785) 830-0100

    Fax: (785) 830-0115

    Type: Location

  • 818 N Carriage Pkwy

    Wichita, KS 67208

    Phone: (316) 651-2252

    Type: Location

  • 4921, West 18th Street, West Alvamar, Lawrence, Douglas County, Kansas, 66047, United States

    LAWRENCE, KS 660472090

    Phone: (785) 830-0100

    Fax: (785) 830-0115

    Type: Mailing

  • 818, North Carriage Parkway, Wichita, Sedgwick County, Kansas, 67208, United States

    WICHITA, KS 67208

    Phone: (316) 651-2252

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $1,063.

Total Amount is formed as General ($1,063) + Research ($0) + Ownership ($0) = $1,063.

Last reported payment date: 2024-01-30 • Largest payer in this snapshot: ABBVIE INC. ($337).

Total Amount

$1,063

General + Research + Ownership

Payments

68

Total payment records

General Amount

$1,063

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-30

Latest reported date

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: 2004-02-06

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
I20040206000575IPhysician AssistantKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes197140$0
99214Established patient office or other outpatient visit, 30-39 minutes11575$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2525$0
81002Urinalysis, manual test1919$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1212$0
View full utilization report →

Insurance plans in this area (ZIP 66047)

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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: 9537119037View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)KS
Family PracticeNC
Nurse PractitionerKS
-KS
Physician AssistantKS
Nurse PractitionerKS
-KS
Internal MedicineKS
Nurse PractitionerKS
Cardiovascular Disease (Cardiology)KS

Reviews

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Frequently asked questions

Is there an official ID for REBECCA A ANDERSON (P.A.) in U.S. healthcare records?
The official identifier for REBECCA A ANDERSON (P.A.) is NPI 1720054182.
Is REBECCA A ANDERSON (P.A.) still an active registrant?
REBECCA A ANDERSON (P.A.) carries an active NPI according to the public dataset.
How would a patient describe REBECCA A ANDERSON (P.A.)'s focus?
For REBECCA A ANDERSON (P.A.), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is REBECCA A ANDERSON (P.A.) associated with Lawrence?
Public fields place REBECCA A ANDERSON (P.A.) around Lawrence, Kansas. Always confirm the exact site before visiting.
Can I trust this NPI listing for REBECCA A ANDERSON (P.A.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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