MRS. META H ANDERSON (FNP-C) – Family Nurse Practitioner, NPI 1477090728

MRS. META H ANDERSON (FNP-C) is a healthcare provider. based in Mound bayou, Mississippi. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. 901947 (MS). The NPI Number for MRS. META H ANDERSON (FNP-C) is 1477090728

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. META H ANDERSON (FNP-C)
NPI
1477090728
Phone
(662) 741-2151
Address
702 MARTIN LUTHER KING ST
Enumeration Date
25 January 2017
Last Update Date
22 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6627418880
Graduation Year
2016 (10 years ago)
PAC ID
9335413236
Group Practice PAC ID
6608783295
Professional Enrollment ID
I20171121002982
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for MRS. META H ANDERSON (FNP-C)

  • 702 MARTIN LUTHER KING ST

    POB 900

    MOUND BAYOU, MS 387629314

    Phone: (662) 741-2151

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-11-21

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
I20171121002982INurse PractitionerMSTBD

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.

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

Insurance plans in this area (ZIP 38762)

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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: 6608783295View full group profile
NameSpecialtyState
-LA
-MS
General PracticeMS
Physician AssistantMS
Nurse PractitionerMS
Nurse PractitionerMS
Family PracticeMS
Nurse PractitionerMS
Physician AssistantAZ
Family PracticeMS

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Frequently asked questions

Is MRS. META H ANDERSON (FNP-C) listed with a National Provider Identifier?
Yes — MRS. META H ANDERSON (FNP-C) has NPI 1477090728 on file in the registry.
Is there an active status for MRS. META H ANDERSON (FNP-C)?
For scheduling context, MRS. META H ANDERSON (FNP-C) is shown as active in the registry.
How would a patient describe MRS. META H ANDERSON (FNP-C)'s focus?
For MRS. META H ANDERSON (FNP-C), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. META H ANDERSON (FNP-C) located near Mound Bayou?
MRS. META H ANDERSON (FNP-C) currently maps to Mound Bayou, Mississippi in this extract.
Does MRS. META H ANDERSON (FNP-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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