KRISTIN MARIE ANDERS (PA-C) – Physician Assistant, NPI 1114673936

KRISTIN MARIE ANDERS (PA-C) is a healthcare provider. based in Nashville, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 4910 (TN). The NPI Number for KRISTIN MARIE ANDERS (PA-C) is 1114673936

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN MARIE ANDERS (PA-C)
NPI
1114673936
Phone
(615) 222-2111
Address
4220 Harding Pike Ste 500
Enumeration Date
2 March 2022
Last Update Date
25 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6152222111
Graduation Year
2021 (5 years ago)
PAC ID
9436533916
Group Practice PAC ID
6406218130
Professional Enrollment ID
I20220901000790
Address ID
TN372052005NA4220XPIKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for KRISTIN MARIE ANDERS (PA-C)

  • 4220 Harding Pike Ste 500

    Nashville, TN 372052005

    Phone: (615) 222-2111

    Type: Location

  • 353 NEW SHACKLE ISLAND RD STE 140C

    HENDERSONVILLE, TN 370752366

    Phone: (615) 826-5664

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $491.

Total Amount is formed as General ($491) + Research ($0) + Ownership ($0) = $491.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: ABBVIE INC. ($79).

Total Amount

$491

General + Research + Ownership

Payments

24

Total payment records

General Amount

$491

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2022-09-01

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
I20220901000790IPhysician AssistantTNTBD

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 37205)

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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: 6406218130View full group profile
NameSpecialtyState
Internal MedicineAL
Internal MedicineTN
Family PracticeKY
Internal MedicineTN
Internal Medicine, HospitalistTN
Internal Medicine, HospitalistTN
Internal MedicineTN
Internal Medicine, HospitalistTN
Internal MedicineTN
Internal MedicineTN

Reviews

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Frequently asked questions

Can I verify KRISTIN MARIE ANDERS (PA-C) with an NPI only?
You can start verification with NPI 1114673936 for KRISTIN MARIE ANDERS (PA-C), then check state licensing separately.
Can I rely on KRISTIN MARIE ANDERS (PA-C) being an active provider?
As of the registry snapshot, KRISTIN MARIE ANDERS (PA-C) is marked active.
What taxonomy line describes KRISTIN MARIE ANDERS (PA-C)?
For research purposes, treat KRISTIN MARIE ANDERS (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KRISTIN MARIE ANDERS (PA-C)?
KRISTIN MARIE ANDERS (PA-C)'s geographic hint is Nashville, Tennessee in our summary view.
Is the information about KRISTIN MARIE ANDERS (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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