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

Kelsey Nicole Anderson, PA

Individual provider Medical Physician Assistant · NPI 1669292868

Kelsey Nicole Anderson, PA is a Physician Assistant in Paola, Kansas. Qualified in 2024, 2 years ago. Practices with Miami County Medical Center Inc, a 25-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
2
Licensed in
KS
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1318 Kansas Dr
Paola, KS 66071-2107
Phone: (913) 557-5678
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 15-02998 (KS)

Record details

NPI number1669292868
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 12, 2024
Last updated in NPPESOctober 12, 2024
Certification dateOctober 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Miami County Medical Center Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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