| Kassandra Elizabeth Anderson, FNP-C | |
|
240 Willow St, Tyler, MN 56178-1201 | |
| (507) 247-5521 | |
| Not Available |
| Full Name | Kassandra Elizabeth Anderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 240 Willow St, Tyler, Minnesota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619626652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9047 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Tyler Hospital | Tyler, MN | Hospital |
| Avera Marshall Regional Medical Ctr | Marshall, MN | Hospital |
| Avera Granite Falls | Granite falls, MN | Hospital |
| Pipestone County Medical Center | Pipestone, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Tyler | 9638088537 | 12 |
| Entity Name | Avera Tyler |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801840517 PECOS PAC ID: 9638088537 Enrollment ID: O20170630001868 |
| Entity Name | Avera Granite Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700429644 PECOS PAC ID: 1456784560 Enrollment ID: O20200106000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Kassandra Elizabeth Anderson, FNP-C 203 Maye St, Tyler, MN 56178-9490 Ph: (605) 838-7118 | Kassandra Elizabeth Anderson, FNP-C 240 Willow St, Tyler, MN 56178-1201 Ph: (507) 247-5521 |
Candice Lou Vanderplaats, RN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Willow Street, Tyler, MN 56178 Phone: 507-247-5921 Fax: 507-247-5184 | |
Jill Marie Jay, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 Willow St, Tyler, MN 56178 Phone: 507-247-5521 |