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

Glen E Anderson, PA-C

Individual provider Physician Assistant · NPI 1801061288

Glen E Anderson, PA-C is a Physician Assistant in Gansevoort, New York. Qualified in 1995, 31 years ago. Practices with Hudson Headwaters Health Network, a 218-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
31
Licensed in
NY
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1299 Route 9
Gansevoort, NY 12831-1560
Phone: (518) 761-6961
Fax: (518) 761-1006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005207 (NY)

Record details

NPI number1801061288
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 25, 2008
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Hudson Headwaters Health Network — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Gansevoort