Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elise Marie Anderson, DNP

Individual provider Registered Nurse · NPI 1669160792

Elise Marie Anderson, DNP is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2024, 2 years ago. Practices with Southwest Spine and Pain Care Specialists LLC, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2023
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

500 Foothill Dr
Salt Lake City, UT 84148-4548
Phone: (801) 582-1565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 691 E 400 N Ste 110, Vineyard, UT 84059-7509 — (385) 666-9600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12096000-4405 (UT)
Registered Nurse Taxonomy 163W00000X · Licence 12096000-3102 (UT)

Record details

NPI number1669160792
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedApril 26, 2023
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southwest Spine And Pain Care Specialists Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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