Tanisha Anderson, DNP, APRN, FNP-C - Medicare Nurse Practitioner in Jacksonville, FL

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Tanisha Anderson, DNP, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. Her current practice location is 7643 Gate Pkwy Ste 104-523, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 638-3511.

Tanisha Anderson is licensed to practice in Florida (license number APRN9297657) 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 1124526025.

Contact Information

Tanisha Anderson, DNP, APRN, FNP-C
7643 Gate Pkwy Ste 104-523,
Jacksonville, FL 32256-2893
(904) 638-3511
(424) 999-0307

Map and Direction




Provider's Profile

Full NameTanisha Anderson
GenderFemale
SpecialityNurse Practitioner - Family
Location7643 Gate Pkwy Ste 104-523, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124526025
  • Provider Enumeration Date: 01/25/2018
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3173872918
  • Enrollment ID: I20180828000477

Medical Identifiers

Medical identifiers for Tanisha Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124526025NPI-NPPES
RN9297657OtherFLRN FL LICENSE
APRN9297657OtherFLAPRN FL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN9297657 (Florida)Primary

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. Tanisha Anderson allows following entities to bill medicare on her behalf.
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430
Entity NameWest Jax Geriatrics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629439260
PECOS PAC ID: 9537457395
Enrollment ID: O20161011000449
Entity NameJacksonville Lung Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861991937
PECOS PAC ID: 4486900412
Enrollment ID: O20180705002822
Entity NameHni Medical Services Of Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679048284
PECOS PAC ID: 7517202112
Enrollment ID: O20190102000426
Entity NameAmerican Advanced Practice Network Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790244341
PECOS PAC ID: 0749517860
Enrollment ID: O20210610001490
Entity NameMeridian Spine And Joint, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689298689
PECOS PAC ID: 8022402916
Enrollment ID: O20220217002433

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. Tanisha 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 AddressPractice Location Address
Tanisha Anderson, DNP, APRN, FNP-C
7055 Blanding Blvd, P.o.box 440242,
Jacksonville, FL 32222

Ph: (904) 638-3511		Tanisha Anderson, DNP, APRN, FNP-C
7643 Gate Pkwy Ste 104-523,
Jacksonville, FL 32256-2893

Ph: (904) 638-3511

Reviews and Comments


Nurse Practitioner Nurses in Jacksonville, FL

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Phone: 904-997-9844    Fax: 904-997-9844
Jennifer Salenga Arguilla, ARNP
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Jessica Pelkowski, ARNP
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Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207
Phone: 904-398-0125    Fax: 904-389-1832
Danielle Harper Key, APRN
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Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210
Phone: 904-346-0050    Fax: 904-346-0080
Mr. Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3728 Philips Hwy Ste 34, Jacksonville, FL 32207
Phone: 904-399-2766    Fax: 904-549-8300

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.