ANDREA L ANDERSON (PA-C) – Physician Assistant, NPI 1194957928

ANDREA L ANDERSON (PA-C) is a healthcare provider. based in Hillsboro, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2427-023 (WI). The NPI Number for ANDREA L ANDERSON (PA-C) is 1194957928

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA L ANDERSON (PA-C)
NPI
1194957928
Phone
(608) 489-8000
Address
400 WATER AVE
Enumeration Date
12 August 2009
Last Update Date
12 August 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6084898000
Graduation Year
2009 (17 years ago)
PAC ID
6406901099
Group Practice PAC ID
3971586439
Professional Enrollment ID
I20090903000389
Address ID
WI546349054HI400XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,672 PHYSICIAN ASSISTANT in WI

Loading map...

Provider Addresses for ANDREA L ANDERSON (PA-C)

  • Gundersen St. Joseph's Hospital, 400, Water Avenue, Hillsboro, Vernon County, Wisconsin, 54634, United States

    HILLSBORO, WI 546349054

    Phone: (608) 489-8000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $222.

Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.

Last reported payment date: 2024-02-29 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($126).

Total Amount

$222

General + Research + Ownership

Payments

3

Total payment records

General Amount

$222

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-29

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: 2009-09-03

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
I20090903000389IPhysician AssistantWITBD

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 54634)

Loading plans...

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: 3971586439View full group profile
NameSpecialtyState
Physician AssistantWI
Family PracticeWI
Family PracticeWI
-WI
-WI
Nurse PractitionerWI
Clinical Social WorkerWI
Physician AssistantWI
Certified Registered Nurse Anesthetist (Crna)WI
Family PracticeWI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is ANDREA L ANDERSON (PA-C) identified in CMS data?
CMS-hosted NPPES data lists ANDREA L ANDERSON (PA-C) with NPI 1194957928.
Is ANDREA L ANDERSON (PA-C) listed as active for patients and plans?
The listing shows ANDREA L ANDERSON (PA-C) as active in the NPI system.
What is ANDREA L ANDERSON (PA-C) best known for clinically?
Directory data describes ANDREA L ANDERSON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for ANDREA L ANDERSON (PA-C)?
ANDREA L ANDERSON (PA-C)'s geographic hint is Hillsboro, Wisconsin in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

JULIE A. DEAN (PA-C)

Physician Assistant
527, Southwest Sutherland Way, Sutherland Meadows, Metro, Washington County, Oregon, 97006, United States
NPI: 1144210386

TRACIE SCHMIDT (PA)

Physician Assistant
400 Water Ave
NPI: 1740251644
400 WATER AVE
NPI: 1780962373

SAMANTHA R. ERIE (PA-C)

Physician Assistant
400 WATER AVE
NPI: 1194164061

BETH M GAGLIARDO (PA-C)

Medical Physician Assistant
7610 W HIGHWAY 71
NPI: 1871965244