Andrea Hayden Anderson
NPI 1639046261ActiveIndividual· Nurse Practitioner· Jackson, MS
Nurse Practitioner with State of Mississippi - University of Mississippi Medical Center, practicing in Jackson, Mississippi. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1639046261 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 20, 2025 |
| Last updated in NPPES | Oct 21, 2026 |
| Certified by provider | Oct 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 90772 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- State of Mississippi - University of Mississippi Medical CenterJackson, MS · 965 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Jackson
- 1407646771
- 1568193175
- 1790998110
- 1992161954
- 1801447693
- 1578714366
- 1508012774
- 1699857433
- 1932167533
- 1902998537
- 1124062930
- 1912927526