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

Ronald Anderson, PMHNO-BC

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1356058051

Ronald Anderson, PMHNO-BC is a Nurse Practitioner in Petersburg, Virginia. Qualified in 2020, 6 years ago. Practices with Toller Enterprises, LLC, a 63-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2022
Specialties on file
2

Practice location Address checks out

350 Poplar Dr
Petersburg, VA 23805-9367
Phone: (804) 733-6874
Show map & directions

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

Additional practice locations (1)

  • 8040 Georgia Ave Ste 170, Silver Spring, MD 20910-4959 — (202) 360-4787

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R164845 (MD)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence R164845 (MD)

Record details

NPI number1356058051
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNO-BC
Sole proprietorYes
NPI enumeratedNovember 1, 2022
Last updated in NPPESApril 1, 2025
Certification dateMarch 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Toller Enterprises, Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Petersburg