NIKKI ANDERSON – Family Nurse Practitioner, NPI 1033909148

NIKKI ANDERSON is a healthcare provider. based in Mt lebanon, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. RN725739 (PA). The NPI Number for NIKKI ANDERSON is 1033909148

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NIKKI ANDERSON
NPI
1033909148
Phone
(412) 563-3444
Address
328 COCHRAN RD
Enumeration Date
12 May 2025
Last Update Date
8 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2018701194
Graduation Year
2022 (4 years ago)
PAC ID
3577076710
Group Practice PAC ID
5294075362
Professional Enrollment ID
I20250701000606
Address ID
PA191041002PH4400XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for NIKKI ANDERSON

  • 328 COCHRAN RD

    MT LEBANON, PA 152281232

    Phone: (412) 563-3444

    Type: Mailing

  • 715 Freeport Rd

    Cheswick, PA 150241205

    Phone: (724) 274-3773

    Type: Location

  • 492C Cedar Ln Ste 514

    Teaneck, NJ 076661713

    Phone: (732) 451-4318

    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: 2025-07-01

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
I20250701000606INurse PractitionerPATBD

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 15228)

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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: 5294075362View full group profile
NameSpecialtyState
Physician AssistantMA
Nurse PractitionerNJ
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Physician AssistantWV
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerNJ
Nurse PractitionerPA

Reviews

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Frequently asked questions

Is there an official ID for NIKKI ANDERSON in U.S. healthcare records?
The official identifier for NIKKI ANDERSON is NPI 1033909148.
Is NIKKI ANDERSON shown as active in public data?
Registry records indicate NIKKI ANDERSON maintains an active NPI.
What clinical focus is listed for NIKKI ANDERSON?
At a glance, NIKKI ANDERSON is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is NIKKI ANDERSON registered?
Use Mt Lebanon, Pennsylvania as the headline location for NIKKI ANDERSON here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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