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

Kayla Jean Anderson, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1073398525

Kayla Jean Anderson, CPNP-PC is a Nurse Practitioner in Macomb, Illinois. Qualified in 2022, 4 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Illinois.

Years since qualifying
4
Licensed in
ID, IL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

505 E Grant St Ste 110
Macomb, IL 61455-3308
Phone: (309) 833-1733
Show map & directions

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

Additional practice locations (1)

  • 8590 Saint Lukes Dr, Beardstown, IL 62618-8398 — (217) 323-2242

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209027939 (IL)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 209027939 (ID)

Record details

NPI number1073398525
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedAugust 31, 2023
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Macomb