KATHLEEN MARIE ANDERSON (NP) – Nurse Practitioner, NPI 1104157650

KATHLEEN MARIE ANDERSON (NP) is a healthcare provider. based in Midlothian, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024164345 (VA). The NPI Number for KATHLEEN MARIE ANDERSON (NP) is 1104157650

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN MARIE ANDERSON (NP)
NPI
1104157650
Phone
Not provided
Address
PO BOX 693
Enumeration Date
22 January 2010
Last Update Date
2 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7573542885
Graduation Year
1989 (37 years ago)
PAC ID
3375700446
Group Practice PAC ID
6103288170
Professional Enrollment ID
I20120201000021
Address ID
VA23502XXXXNOXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

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Provider Addresses for KATHLEEN MARIE ANDERSON (NP)

  • PO BOX 693

    MIDLOTHIAN, VA 231130693

    Phone:

    Type: Mailing

  • Dumbarton Road, Washington Park, Richmond, Richmond City, Virginia, 23228, United States

    RICHMOND, VA 232286014

    Phone: (804) 874-7949

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-03-23 • Largest payer in this snapshot: Novo Nordisk Inc ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$125
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: 2012-02-01

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
I20120201000021INurse PractitionerVATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,447281$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes340207$0
99316Nursing facility discharge management, more than 30 minutes122119$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes11371$0
View full utilization report →

Insurance plans in this area (ZIP 23113)

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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: 6103288170View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerOH
Clinical Social WorkerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

What NPI should I save for KATHLEEN MARIE ANDERSON (NP)?
Save NPI 1104157650 if you need a stable reference for KATHLEEN MARIE ANDERSON (NP).
Is KATHLEEN MARIE ANDERSON (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does KATHLEEN MARIE ANDERSON (NP) treat or focus on?
Patients typically see KATHLEEN MARIE ANDERSON (NP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KATHLEEN MARIE ANDERSON (NP) practice in Virginia?
You will see Midlothian, Virginia on file for KATHLEEN MARIE ANDERSON (NP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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