KRISTEN J ANDERSON (MPAC) – Physician Assistant, NPI 1063521094

KRISTEN J ANDERSON (MPAC) is a healthcare provider. based in Aurora, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MPAC. They hold a License No. 841 (NE). The NPI Number for KRISTEN J ANDERSON (MPAC) is 1063521094

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN J ANDERSON (MPAC)
NPI
1063521094
Phone
(402) 694-3191
Address
609 O ST
Enumeration Date
30 August 2006
Last Update Date
4 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024634521
Graduation Year
1998 (28 years ago)
PAC ID
1557486545
Group Practice PAC ID
4587575550
Professional Enrollment ID
I20100914001042
Address ID
NE689014451HA715XXAVEX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

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Provider Addresses for KRISTEN J ANDERSON (MPAC)

  • Memorial Health Clinic, 609, O Street, Aurora, Hamilton County, Nebraska, 68818, United States

    AURORA, NE 688181100

    Phone: (402) 694-3191

    Fax: (402) 694-2146

    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)

CMS reports 9 Open Payments records for all available years, with a total value of $259.

Total Amount is formed as General ($259) + Research ($0) + Ownership ($0) = $259.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($113).

Total Amount

$259

General + Research + Ownership

Payments

9

Total payment records

General Amount

$259

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2010-09-14

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
I20100914001042IPhysician AssistantNETBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg59645$0
73562X-ray of knee, 3 views12482$0
20610Aspiration and/or injection of fluid from large joint12460$0
99213Established patient office or other outpatient visit, 20-29 minutes12387$0
72170X-ray of pelvis, 1-2 views6448$0
View full utilization report →

Insurance plans in this area (ZIP 68818)

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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: 4587575550View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
-NE
Emergency MedicineOH
Cardiovascular Disease (Cardiology)NE
Physician AssistantNE
-TN
Orthopedic SurgeryNE
Family PracticeNE
-CO
Neuropsychiatry, PsychiatryNE

Reviews

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Frequently asked questions

Can I use this page to confirm KRISTEN J ANDERSON (MPAC)'s NPI?
Yes. KRISTEN J ANDERSON (MPAC) is listed with NPI 1063521094 in the public NPI dataset.
Can I rely on KRISTEN J ANDERSON (MPAC) being an active provider?
As of the registry snapshot, KRISTEN J ANDERSON (MPAC) is marked active.
What taxonomy line describes KRISTEN J ANDERSON (MPAC)?
For research purposes, treat KRISTEN J ANDERSON (MPAC) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does KRISTEN J ANDERSON (MPAC) list a practice location?
Patients near Aurora, Nebraska may find KRISTEN J ANDERSON (MPAC) in results; validate coverage separately.
Is the information about KRISTEN J ANDERSON (MPAC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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