LEE A ANDERSON (MD) – Family Medicine Physician, NPI 1104913854

LEE A ANDERSON (MD) is a healthcare provider. based in Marshfield, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 39002 (WI). The NPI Number for LEE A ANDERSON (MD) is 1104913854

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
LEE A ANDERSON (MD)
NPI
1104913854
Phone
Not provided
Address
1000 N OAK AVE
Enumeration Date
6 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
0749315372
Group Practice PAC ID
9032029871
Professional Enrollment ID
I20100320000244
Address ID
WI545521467PA98XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,047 FAMILY PRACTICE in WI

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Provider Addresses for LEE A ANDERSON (MD)

  • Marshfield Clinic Marshfield Center, 1000, North Oak Avenue, Marshfield, Wood County, Wisconsin, 54449, United States

    MARSHFIELD, WI 544495777

    Phone:

    Type: Mailing

  • Marshfield Clinic Phillps Center, 104, Trinity Drive, Phillips, Price County, Wisconsin, 54555, United States

    PHILLIPS, WI 54555

    Phone: (715) 339-2101

    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: 2010-03-20

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
I20100320000244IFamily PracticeWITBD

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 54449)

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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: 9032029871View full group profile
NameSpecialtyState
Nurse PractitionerWI
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)WI
Medical OncologyCA
Nurse PractitionerWI
Nurse PractitionerWI
Physician AssistantWI
Registered Dietitian Or Nutrition ProfessionalWI
Infectious Disease, Internal MedicineWI
Nurse PractitionerWI
Hematology/Oncology, Medical OncologyIL

Reviews

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Frequently asked questions

Is LEE A ANDERSON (MD) listed with a National Provider Identifier?
Yes — LEE A ANDERSON (MD) has NPI 1104913854 on file in the registry.
Is there an active status for LEE A ANDERSON (MD)?
For scheduling context, LEE A ANDERSON (MD) is shown as active in the registry.
What kind of doctor is LEE A ANDERSON (MD)?
LEE A ANDERSON (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is LEE A ANDERSON (MD) associated with Marshfield?
Public fields place LEE A ANDERSON (MD) around Marshfield, Wisconsin. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for LEE A ANDERSON (MD) is noted as October 6, 2006 where the registry provides it.

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