SHIRLEY M ANDERSON (MA CCCA) – Audiologist, NPI 1124007463

SHIRLEY M ANDERSON (MA CCCA) is a healthcare provider. based in Mankato, Minnesota. specializing in Audiologist. They hold the professional credentials MA CCCA. They hold a License No. 6054 (MN). The NPI Number for SHIRLEY M ANDERSON (MA CCCA) is 1124007463

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
SHIRLEY M ANDERSON (MA CCCA)
NPI
1124007463
Phone
(507) 625-1811
Address
PO BOX 8674
Enumeration Date
14 January 2006
Last Update Date
9 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073866750
Graduation Year
1985 (41 years ago)
PAC ID
4385786458
Group Practice PAC ID
5597677955
Professional Enrollment ID
I20100127000900

Contacts

Secure Messaging
shirleyanderson@mklt.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Loading map...

Provider Addresses for SHIRLEY M ANDERSON (MA CCCA)

  • Mankato Post Office, East Main Street, Mankato, Blue Earth County, Minnesota, 56001, United States

    1230 E MAIN ST

    MANKATO, MN 560028674

    Phone: (507) 625-1811

    Type: Mailing

  • 1421, Premier Dr, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO CLINIC AT WICKERSHAM CAMPUS

    MANKATO, MN 56001

    Phone: (507) 625-1811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56002)

Loading plans...

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: 5597677955View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
-MN
Diagnostic RadiologyCO
Physician AssistantMN
P O D I A T R YMN
-MN
General SurgeryMN
Diagnostic Radiology, Internal MedicineMN
N E U R O L O G YMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify SHIRLEY M ANDERSON (MA CCCA) with an NPI only?
You can start verification with NPI 1124007463 for SHIRLEY M ANDERSON (MA CCCA), then check state licensing separately.
Can I rely on SHIRLEY M ANDERSON (MA CCCA) being an active provider?
As of the registry snapshot, SHIRLEY M ANDERSON (MA CCCA) is marked active.
What is SHIRLEY M ANDERSON (MA CCCA)'s primary classification?
Audiologist is the headline specialty for SHIRLEY M ANDERSON (MA CCCA) here. Clinical services aligned with this taxonomy classification.
Does SHIRLEY M ANDERSON (MA CCCA) list a practice location?
Patients near Mankato, Minnesota may find SHIRLEY M ANDERSON (MA CCCA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

Mayo Clinic Health System, 1025, Marsh Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States
NPI: 1104809821
Mankato Post Office, East Main Street, Mankato, Blue Earth County, Minnesota, 56001, United States
NPI: 1538148556
PO BOX 860912
NPI: 1427161330
1400 MADISON AVE STE 614
NPI: 1003038654
Mayo Clinic Health System, 1025, Marsh Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States
NPI: 1235330788
PO BOX 8674
NPI: 1609074293

TERRIE ZIEGLER

Audiologist
Cheshire Lane North, Plymouth, Hennepin County, Minnesota, 55441, United States
NPI: 1992986186
2200 NW 26th St
NPI: 1417276155
1230 E MAIN ST
NPI: 1376978874