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

Shandon Wells Anderson, APRN-C

Individual provider Family Nurse Practitioner · NPI 1609349265

Shandon Wells Anderson, APRN-C is a Nurse Practitioner in Paola, Kansas. Qualified in 2018, 8 years ago. Practices with Adventhealth Ransom Memorial Inc, a 41-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
8
Licensed in
KS
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2100 Baptiste Dr
Paola, KS 66071-1314
Phone: (913) 294-2327
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 78535 (KS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence TMP-157777 (KS)

Record details

NPI number1609349265
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-C
Sole proprietorNo
NPI enumeratedJanuary 7, 2019
Last updated in NPPESJanuary 22, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Adventhealth Ransom Memorial Inc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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