CAROL ANN ANDERSON (PNP) – Pediatric Nurse Practitioner, NPI 1922069640

CAROL ANN ANDERSON (PNP) is a healthcare provider. based in Portland, Oregon. specializing in Pediatric Nurse Practitioner. They hold the professional credentials PNP. They hold a License No. 000028415N2PNP-PP (OR). The NPI Number for CAROL ANN ANDERSON (PNP) is 1922069640

Main info

Female
Name
CAROL ANN ANDERSON (PNP)
NPI
1922069640
Phone
(503) 413-2902
Address
2800 N VANCOUVER AVE
Enumeration Date
31 March 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CAROL ANN ANDERSON (PNP)

  • Legacy Medical Group - Emanuel, 2800, North Vancouver Avenue, Albina, Eliot, Portland, Metro, Multnomah County, Oregon, 97227, United States

    SUITE 165

    PORTLAND, OR 972271630

    Phone: (503) 413-2902

    Fax: (503) 413-5220

    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 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Abbott Laboratories ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$17
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 97227)

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Reviews

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Frequently asked questions

How do I look up CAROL ANN ANDERSON (PNP) by NPI?
Use NPI 1922069640 when you need to reference CAROL ANN ANDERSON (PNP) in forms, claims, or directories.
Is CAROL ANN ANDERSON (PNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CAROL ANN ANDERSON (PNP) list a primary specialty?
If you are matching referrals, note Pediatric Nurse Practitioner for CAROL ANN ANDERSON (PNP). Clinical services aligned with this taxonomy classification.
Where is CAROL ANN ANDERSON (PNP)'s primary listing?
We display Portland, Oregon because that is what the record indicates for CAROL ANN ANDERSON (PNP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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