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

Kiesha Anderson, DO

Individual provider Neurology Physician · NPI 1720439680

Kiesha Anderson, DO is a Neurology in Mishawaka, Indiana. Graduated from Edward via Col of Osteo Medicine-Carolinas Campus in 2016, 10 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Trained at
Edward via Col of Osteo Medicine-Carolinas Campus
Licensed in
IN
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5314 Lincolnway E
Mishawaka, IN 46544-4249
Phone: (574) 647-8542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X · Licence 02006115A (IN)
Neurology Physician Taxonomy 2084N0400X · Licence 02006115A (IN)

Record details

NPI number1720439680
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 22, 2016
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated 2016 (10 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mishawaka