MARY ELISABETH NEAL ANDERSON (MD) – Internal Medicine Physician, NPI 1386639136

MARY ELISABETH NEAL ANDERSON (MD) is a healthcare provider. based in Jackson, Tennessee. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 28500 (TN). The NPI Number for MARY ELISABETH NEAL ANDERSON (MD) is 1386639136

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELISABETH NEAL ANDERSON (MD)
NPI
1386639136
Phone
(731) 425-5752
Address
PO BOX 400
Enumeration Date
19 September 2005
Last Update Date
28 February 2018

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
7316641375
Graduation Year
1992 (34 years ago)
PAC ID
7214001023
Group Practice PAC ID
2668376872
Professional Enrollment ID
I20080728000610
Address ID
TN383433639HU3568XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,527 INTERNAL MEDICINE in TN

Provider Addresses for MARY ELISABETH NEAL ANDERSON (MD)

  • PO BOX 400

    JACKSON, TN 383020400

    Phone: (731) 425-5752

    Fax: (731) 425-5783

    Type: Mailing

  • 2863 HIGHWAY 45 BYP

    JACKSON, TN 383053618

    Phone: (731) 664-1375

    Fax: (731) 660-8336

    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: 2008-07-28

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
I20080728000610IInternal MedicineTNTBD

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
36415Insertion of needle into vein for collection of blood sample320152$0
99214Established patient office or other outpatient visit, 30-39 minutes260141$0
80061Blood test, lipids (cholesterol and triglycerides)224139$0
80053Blood test, comprehensive group of blood chemicals216135$0
81001Manual urinalysis test with examination using microscope, automated15294$0
View full utilization report →

Insurance plans in this area (ZIP 38302)

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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: 2668376872View full group profile
NameSpecialtyState
Nurse PractitionerTN
Family PracticeTN
E N D O C R I N O L O G YTN
-TN
-TN
G A S T R O E N T E R O L O G YTN
O P T O M E T R YTN
Certified Registered Nurse Anesthetist (Crna)TN
Interventional Cardiology, Cardiovascular Disease (Cardiology)TN
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

Does MARY ELISABETH NEAL ANDERSON (MD) have a public NPI I can cite?
Public records show MARY ELISABETH NEAL ANDERSON (MD) under NPI 1386639136.
Should I treat MARY ELISABETH NEAL ANDERSON (MD) as an active provider?
Patients and plans typically see MARY ELISABETH NEAL ANDERSON (MD) as active in the national extract.
What services align with MARY ELISABETH NEAL ANDERSON (MD)'s listing?
MARY ELISABETH NEAL ANDERSON (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MARY ELISABETH NEAL ANDERSON (MD)?
The directory associates MARY ELISABETH NEAL ANDERSON (MD) with Jackson, Tennessee. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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