MS. KORI E ANDERSON (PA-C) – Physician Assistant, NPI 1902227630
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for MS. KORI E ANDERSON (PA-C)
805 DELUCA RD
BELLEVILLE, NJ 071095351
Phone: (541) 619-8542
Type: Mailing
171 RIDGEDALE AVE STE N
FLORHAM PARK, NJ 079321764
Phone: (201) 588-3491
Type: Location
550 NEWARK AVE STE 207
JERSEY CITY, NJ 073061348
Phone: (848) 200-1699
Type: Mailing
100 HEPBURN RD APT 11C
CLIFTON, NJ 070122210
Phone: (848) 200-1699
Type: Location
388 State St Ste 420
Salem, OR 973013581
Phone: (541) 368-5986
Fax: (866) 624-8745
Type: Location
2795 E MOUNTAIN VIEW DR SE
ALBANY, OR 973225833
Phone: (541) 619-8542
Type: Mailing
2298 NW KINGS BLVD
CORVALLIS, OR 973303923
Phone: (541) 368-5986
Fax: (866) 624-8745
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 280 Open Payments records for all available years, with a total value of $4,290.
Total Amount is formed as General ($4,290) + Research ($0) + Ownership ($0) = $4,290.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($639).
Total Amount
$4,290
General + Research + Ownership
Payments
280
Total payment records
General Amount
$4,290
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-11-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151123000371 | I | Physician Assistant | NJ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 107 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 11 | $0 |
Insurance plans in this area (ZIP 07109)
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