ANDREA J ANDERSON – Nurse Practitioner, NPI 1427616986

ANDREA J ANDERSON is a healthcare provider. based in Omaha, Nebraska. specializing in NURSE PRACTITIONER. They hold a License No. 112780 (NE). The NPI Number for ANDREA J ANDERSON is 1427616986

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA J ANDERSON
NPI
1427616986
Phone
(402) 955-5400
Address
8200 DODGE ST
Enumeration Date
30 May 2019
Last Update Date
10 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4027633035
Graduation Year
2018 (8 years ago)
PAC ID
5991104051
Group Practice PAC ID
6002728391
Professional Enrollment ID
I20210921000714
Address ID
NE681231591BE2500XDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

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Provider Addresses for ANDREA J ANDERSON

  • Children's Hospital & Medical Center, 8200, Dodge Street, Omaha, Douglas County, Nebraska, 68114, United States

    OMAHA, NE 681144113

    Phone: (402) 955-5400

    Fax: (402) 955-3674

    Type: Mailing

  • Woodbury Hills Shopping Center, 1022, Woodbury Avenue, Council Bluffs, Pottawattamie County, Iowa, 51503, United States

    COUNCIL BLUFFS, IA 515037915

    Phone: (712) 352-0405

    Fax: (712) 352-0356

    Type: Location

  • 8632 S 99TH CIR

    LA VISTA, NE 681287009

    Phone:

    Type: Mailing

  • PO BOX 117287

    ATLANTA, GA 303687287

    Phone: (239) 432-8331

    Fax: (813) 321-1296

    Type: Mailing

  • 1 EDMUNDSON PL STE 100

    COUNCIL BLUFFS, IA 515034658

    Phone: (717) 322-4136

    Fax: (717) 322-8129

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $1,388.

Total Amount is formed as General ($1,388) + Research ($0) + Ownership ($0) = $1,388.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($385).

Total Amount

$1,388

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,388

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2021-09-21

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
I20210921000714INurse PractitionerNETBD

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
38222Biopsy and aspiration of bone marrow sample for diagnosis3231$0
99213Established patient office or other outpatient visit, 20-29 minutes3231$0
99214Established patient office or other outpatient visit, 30-39 minutes2725$0
View full utilization report →

Insurance plans in this area (ZIP 68114)

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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: 6002728391View full group profile
NameSpecialtyState
Physician AssistantNE
Infectious DiseaseNE
N E U R O L O G YNE
P A T H O L O G YNE
Medical Oncology, Hematology/OncologyNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
G A S T R O E N T E R O L O G YNE
Internal MedicineNE
N E U R O S U R G E R YNE

Reviews

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Frequently asked questions

Can I use this page to confirm ANDREA J ANDERSON's NPI?
Yes. ANDREA J ANDERSON is listed with NPI 1427616986 in the public NPI dataset.
Can I rely on ANDREA J ANDERSON being an active provider?
As of the registry snapshot, ANDREA J ANDERSON is marked active.
What taxonomy line describes ANDREA J ANDERSON?
For research purposes, treat ANDREA J ANDERSON as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does ANDREA J ANDERSON list a practice location?
Patients near Omaha, Nebraska may find ANDREA J ANDERSON in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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