Shani Lee Anderson, NP, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Worcester, Massachusetts. She graduated from healthcare school in 2018 and has 7 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Day Kimball Healthcare, Inc. and her current practice location is
1280 Main St, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 754-1141.
Shani Lee Anderson is licensed to practice in Massachusetts (license number RN2270119) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811474596.
Healthcare Provider's Profile
| Full Name | Shani Lee Anderson |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 7 Years |
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| Location | 1280 Main St, Worcester, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shani Lee Anderson graduated from medical school in 2018
NPI Data:
- NPI Number: 1811474596
- Provider Enumeration Date: 07/25/2018
- Last Update Date: 09/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 6901263193
- Enrollment ID: I20250416002647
Medical Identifiers
Medical identifiers for Shani Lee Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1811474596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2270119 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Day Kimball Healthcare, Inc. | 5092773549 | 23 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shani Lee Anderson allows following entities to bill medicare on her behalf.
| Entity Name | Day Kimball Healthcare, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649243478 PECOS PAC ID: 5092773549 Enrollment ID: O20041229001007 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shani Lee Anderson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shani Lee Anderson, NP, RN 1280 Main St, Worcester, MA 01603-1801 Ph: (508) 754-1141 | Shani Lee Anderson, NP, RN 1280 Main St, Worcester, MA 01603-1801 Ph: (508) 754-1141 |
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