JAMIE ANDERSON – Nurse Practitioner, NPI 1669928719

JAMIE ANDERSON is a healthcare provider. based in Marion, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0024173838 (VA). The NPI Number for JAMIE ANDERSON is 1669928719

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE ANDERSON
NPI
1669928719
Phone
(276) 783-1200
Address
340 BAGLEY CIR
Enumeration Date
29 August 2016
Last Update Date
29 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5407831200
Graduation Year
2016 (10 years ago)
PAC ID
4688962681
Group Practice PAC ID
3577571041
Professional Enrollment ID
I20161006001530
Address ID
VA243543126MA340XXCIRX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

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Provider Addresses for JAMIE ANDERSON

  • Southwestern Virginia Mental Health Institute, 340, Bagley Circle, Marion, Smyth County, Virginia, 24354, United States

    MARION, VA 243543126

    Phone: (276) 783-1200

    Fax: (276) 783-1465

    Mailing address matches the actual address.

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 $136.

Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.

Last reported payment date: 2024-02-15 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($121).

Total Amount

$136

General + Research + Ownership

Payments

3

Total payment records

General Amount

$136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-15

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: 2016-10-06

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
I20161006001530INurse 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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 24354)

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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: 3577571041View full group profile

Reviews

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Frequently asked questions

Can I cross-check JAMIE ANDERSON using NPI 1669928719?
NPI 1669928719 belongs to JAMIE ANDERSON; compare other details if you need extra assurance.
Would JAMIE ANDERSON appear as active to a payer?
You can treat JAMIE ANDERSON as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JAMIE ANDERSON?
JAMIE ANDERSON is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JAMIE ANDERSON?
Travel planning: use Marion, Virginia as the reference point for JAMIE ANDERSON, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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