Shaunte E Anderson, FNP in Gardena, CA - Medicare Nurse Practitioner

Shaunte E Anderson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Gardena, California. Her current practice location is 1025 W 190th St Ste 450, Gardena, California. You can reach out to her office (for appointments etc.) via phone at (310) 782-1177.

Shaunte E Anderson is licensed to practice in California (license number 95012291) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639717218.

Contact Information

	Shaunte E Anderson, FNP
	1025 W 190th St Ste 450, Gardena, CA 90248-4339
	(310) 782-1177
	Not Available

Map and Direction

Provider's Profile

Full Name	Shaunte E Anderson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1025 W 190th St Ste 450, Gardena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639717218
Provider Enumeration Date: 12/14/2019
Last Update Date: 09/18/2025

Medicare PECOS Information:

PECOS PAC ID: 0547691784
Enrollment ID: I20200504001024

Medical Identifiers

Medical identifiers for Shaunte E Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639717218	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95012291 (California)	Primary
207Q00000X	Family Medicine	95012991 (California)	Secondary

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. Shaunte E Anderson allows following entities to bill medicare on her behalf.

Entity Name	J M Geiss Do Apc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063825289 PECOS PAC ID: 6103044078 Enrollment ID: O20140919001932

Entity Name	Seasons Medical Group Of California Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790239473 PECOS PAC ID: 9234405952 Enrollment ID: O20171025001421

Entity Name	Global Wound Care Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871

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. Shaunte E 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
Shaunte E Anderson, FNP 13089 Peyton Dr, Chino Hills, CA 91709-6018 Ph: (562) 682-5091	Shaunte E Anderson, FNP 1025 W 190th St Ste 450, Gardena, CA 90248-4339 Ph: (310) 782-1177

Reviews and Comments

Nurse Practitioner Nurses in Gardena, CA

Starly Alvarado, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1045 W Redondo Beach Blvd Ste 300, Gardena, CA 90247 Phone: 323-241-6730
Blessing Otaniyen Omoruyi, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1229 W 164th St Apt D, Gardena, CA 90247 Phone: 323-674-3445 Fax: 323-544-4319
Jina Ko Yang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1149 W 190th St, Gardena, CA 90248 Phone: 310-851-4705
Courtney Lynn Flores, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-532-4200
Selali Ziga, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15116 S Raymond Ave Apt 106, Gardena, CA 90247 Phone: 909-576-0190
Ms. Adaljiza Tavera, PMHNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102
Anna Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15803 S Maple Ave, Gardena, CA 90248 Phone: 310-469-4273

Shaunte E Anderson, FNP - Medicare Nurse Practitioner in Gardena, CA