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

Michael Anderson, PA

Individual provider Physician Assistant · NPI 1023569241

Michael Anderson, PA is a Physician Assistant in Provo, Utah. Qualified in 2016, 10 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
10
Licensed in
UT
In the registry since
2016
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

1055 N 500 W Ste 101
Provo, UT 84604-3305
Phone: (801) 373-4366
Fax: (801) 418-0941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 395 W Cougar Blvd, Provo, UT 84604-3311 — (801) 357-4600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10117275-1206 (UT)

Record details

NPI number1023569241
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 24, 2016
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing addressPo Box 27128, Attn: Credentialing, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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