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Jordan Lillian Anderson, PA-C

Surgical Physician Assistant in Maple Grove, MN · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053066399

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Registry record

Entity type Individual (Type 1)
Name Jordan Lillian Anderson
Credential PA-C
Sex Female
Practice address 10150 Niagara Ln N # 100, Maple Grove, MN, 55369
Phone (224) 213-5886
Enumeration date Feb 15, 2022
Last updated in NPPES Jun 21, 2023

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA15644 (TX) Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 14483 (MN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jordan Anderson practice?
The practice location on file with NPPES is in Maple Grove, MN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jordan Anderson?
The National Provider Identifier (NPI) for Jordan Anderson is 1053066399, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-06-21.