MARY ELLEN ANDERSON (NP) – Family Nurse Practitioner, NPI 1598865347

MARY ELLEN ANDERSON (NP) is a healthcare provider. based in Columbia, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4690P (KY). The NPI Number for MARY ELLEN ANDERSON (NP) is 1598865347

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELLEN ANDERSON (NP)
NPI
1598865347
Phone
(270) 384-9981
Address
197 Will Walker Rd
Enumeration Date
22 September 2006
Last Update Date
9 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2706511111
Graduation Year
2005 (21 years ago)
PAC ID
1355591926
Group Practice PAC ID
0345694766
Professional Enrollment ID
I20121017000813
Address ID
KY421411300GL310XXBLVD600

Contacts

Secure Messaging
manderson110641@direct.owensborohealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

7,343 NURSE PRACTITIONER in KY

Provider Addresses for MARY ELLEN ANDERSON (NP)

  • 197 Will Walker Rd

    Columbia, KY 427287436

    Phone: (270) 384-9981

    Fax: (270) 384-9989

    Type: Location

  • 1201 PLEASANT VALLEY RD

    OWENSBORO, KY 423039811

    Phone: (270) 417-5911

    Fax: (270) 417-6497

    Type: Location

  • T.J. Samson Community Hospital, 1301, North Race Street, Glasgow, Barren County, Kentucky, 42141, United States

    GLASGOW, KY 421413454

    Phone: (270) 651-4444

    Type: Location

  • 104, Raintree Place, Glasgow, Barren County, Kentucky, 42141, United States

    GLASGOW, KY 421412244

    Phone: (818) 462-0990

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $169.

Total Amount is formed as General ($169) + Research ($0) + Ownership ($0) = $169.

Last reported payment date: 2024-04-06 • Largest payer in this snapshot: BeiGene USA, Inc. ($125).

Total Amount

$169

General + Research + Ownership

Payments

2

Total payment records

General Amount

$169

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-06

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: 2012-10-17

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
I20121017000813INurse PractitionerKYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes176173$0
99213Established patient office or other outpatient visit, 20-29 minutes113110$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4543$0
99212Established patient office or other outpatient visit, 10-19 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 42728)

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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: 0345694766View full group profile
NameSpecialtyState
Family PracticeKY
Family Practice, Emergency MedicineKY
Family PracticeSC
Nurse PractitionerKY
Internal MedicineNJ
Family PracticeKY
Nurse PractitionerSC
Emergency MedicineKY
Family PracticeKY
Physician AssistantTN

Reviews

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Frequently asked questions

Is there an official ID for MARY ELLEN ANDERSON (NP) in U.S. healthcare records?
The official identifier for MARY ELLEN ANDERSON (NP) is NPI 1598865347.
Is there an active status for MARY ELLEN ANDERSON (NP)?
For scheduling context, MARY ELLEN ANDERSON (NP) is shown as active in the registry.
What kind of doctor is MARY ELLEN ANDERSON (NP)?
MARY ELLEN ANDERSON (NP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARY ELLEN ANDERSON (NP)?
Travel planning: use Columbia, Kentucky as the reference point for MARY ELLEN ANDERSON (NP), then confirm.
When was this NPI issued?
Enumeration for MARY ELLEN ANDERSON (NP) is noted as September 22, 2006 where the registry provides it.

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