MICHEL ANDERSON (FNP) – Nurse Practitioner, NPI 1174973879

MICHEL ANDERSON (FNP) is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2016018333 (MO). The NPI Number for MICHEL ANDERSON (FNP) is 1174973879

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MICHEL ANDERSON (FNP)
NPI
1174973879
Phone
(417) 829-4620
Address
PO BOX 505164
Enumeration Date
14 June 2016
Last Update Date
25 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4178202600
Graduation Year
2016 (10 years ago)
PAC ID
0547552101
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20160630001226
Address ID
MO658042203SP1235XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MICHEL ANDERSON (FNP)

  • PO BOX 505164

    SAINT LOUIS, MO 631505164

    Phone: (417) 829-4620

    Type: Mailing

  • 1100 N Kentucky Ave

    West Plains, MO 657752029

    Phone: (417) 256-9111

    Type: Location

  • 1422, South Sam Houston Boulevard, Houston, Texas County, Missouri, 65483, United States

    HOUSTON, MO 654832130

    Phone: (417) 967-4445

    Type: Location

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: 2016-06-30

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
I20160630001226INurse PractitionerMOTBD

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
99284Emergency department visit with moderate level of medical decision making6665$0
99285Emergency department visit with high level of medical decision making1919$0
99283Emergency department visit with low level of medical decision making1818$0
View full utilization report →

Insurance plans in this area (ZIP 63150)

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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: 7416865845View full group profile

Reviews

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Frequently asked questions

What identifier follows MICHEL ANDERSON (FNP) across health systems?
The NPI 1174973879 uniquely identifies MICHEL ANDERSON (FNP) in U.S. healthcare data.
Quick check: is MICHEL ANDERSON (FNP) active?
Public NPPES data shows MICHEL ANDERSON (FNP) with an active NPI status right now.
How should patients interpret MICHEL ANDERSON (FNP)'s specialty?
The extract shows Nurse Practitioner for MICHEL ANDERSON (FNP). Clinical services aligned with this taxonomy classification.
Which community is linked to MICHEL ANDERSON (FNP)?
MICHEL ANDERSON (FNP) shows a connection to Saint Louis, Missouri in registry-derived data.
Who maintains MICHEL ANDERSON (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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