TANNER ANDERSON – Family Nurse Practitioner, NPI 1902346109

TANNER ANDERSON is a healthcare provider. based in Pottsboro, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP133514 (TX). The NPI Number for TANNER ANDERSON is 1902346109

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
TANNER ANDERSON
NPI
1902346109
Phone
(903) 786-3911
Address
557 W Fm 120
Enumeration Date
7 March 2017
Last Update Date
16 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9034164000
Graduation Year
2016 (10 years ago)
PAC ID
5496031304
Group Practice PAC ID
7810371044
Professional Enrollment ID
I20170407000685
Address ID
TX750204584DE5016X75XX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for TANNER ANDERSON

  • 557 W Fm 120

    Pottsboro, TX 750769039

    Phone: (903) 786-3911

    Fax: (903) 786-8630

    Type: Location

  • 5012 S US HWY 75, SUITE 300

    ATTN BILLING

    DENISON, TX 75020

    Phone: (903) 416-7544

    Type: Mailing

  • Urgent Care Center, 3126, West FM 120, Denison, Grayson County, Texas, 75020, United States

    DENISON, TX 750201249

    Phone: (903) 416-7544

    Fax: (903) 416-7545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-05-24 • Largest payer in this snapshot: PFIZER INC. ($50).

Total Amount

$50

General + Research + Ownership

Payments

3

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$50
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: 2017-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170407000685INurse PractitionerTXTBD
I20171006000768INurse PractitionerOKTBD

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
99284Emergency department visit with moderate level of medical decision making3534$0
99285Emergency department visit with high level of medical decision making2828$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)2322$0
81003Automated urinalysis test2019$0
87502Detection test by nucleic acid for multiple types influenza virus1212$0
View full utilization report →

Insurance plans in this area (ZIP 75076)

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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: 7810371044View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Emergency Medicine, Internal Medicine, HospitalistTX
Nurse PractitionerTX
Emergency MedicineOK
Emergency MedicineMS
Family Practice, Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the standard ID for TANNER ANDERSON in the U.S.?
In the U.S., TANNER ANDERSON is identified by NPI 1902346109.
Is TANNER ANDERSON currently accepting referrals based on NPI status?
Registry metadata lists TANNER ANDERSON as active.
What services align with TANNER ANDERSON's listing?
TANNER ANDERSON's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit TANNER ANDERSON in Pottsboro, Texas?
For routing, start with Pottsboro, Texas for TANNER ANDERSON, then verify phone and hours locally.
Who maintains TANNER ANDERSON's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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