Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407506413 Individual Practitioner Male Practitioner

Dr. Jesse Stephen Andersen , MD

Emergency Medicine • Coldwater, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jesse Andersen, MD is a certified Emergency Medicine practicing in Coldwater, MI. With approximately 4 years of clinical experience since graduating from Medical University Of South Carolina College Of Medicine in 2022, Dr. Andersen delivers high-quality medical care to the local community at 274 E CHICAGO ST.

Dr. Andersen is affiliated with Professional Emergency Care Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

274 E Chicago St

Coldwater, MI 490362041

Telephone 5172795400
Associated Practice Facility / Clinic
🏢 Regio T Penna Md, Pc Facility NPI 1245213537

Medicare Profile & Education

Medical School

Medical University Of South Carolina College Of Medicine

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Coldwater, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -18.8 yrs vs City Avg
City Avg: 22.8 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Coldwater, MI (3151 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Andersen (4 Years) 4 Yrs
Coldwater Specialty Average (22.8 Years) 22.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-30
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License MI 4301515312

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License IN 01100214A

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

Professional Emergency Care Pc

274 E Chicago St, Coldwater, MI 490362041

Phone: 5172795400

Secondary Practice Locations

36475 Five Mile Rd

Livonia, MI 481541971

Phone: 7346554800

2200 N Section St

Sullivan, IN 478827523

Phone: 8122684311

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Douglas Hess , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023161437

Certified Registered Nurse Anesthetist

NPI 1073882189

Doctor of Osteopathic Medicine (D.O.)

Randy Roth , CRNA

Nurse Anesthetist, Certified Registered

NPI 1104979616

Certified Registered Nurse Anesthetist

Carlo Marceau , PA

Physician Assistant

NPI 1154038222

Physician Assistant

NPI 1174589774

Doctor of Medicine (M.D.)

Kyle Archer

Nurse Practitioner - Family

NPI 1255277570

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 30, 2026

Registered at 274 E CHICAGO ST, COLDWATER, MI 490362041 (Tel: 5172795400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2025

Emergency Medicine (License #4301515312 in MI)

NPI Profile Active March 24, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2022

Registered at 36475 FIVE MILE RD, LIVONIA, MI 481541971 (Tel: 7346554800)

📍
Updated Business Mailing Address March 24, 2022

Registered at 36475 FIVE MILE RD, LIVONIA, MI 481541971 (Tel: 7346554800)

👤
Provider Name / Credentials Updated March 24, 2022

Recorded as JESSE ANDERSEN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 24, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407506413
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2022
Last Update: June 30, 2026
Sole Proprietor: Yes

Mailing Address

36475 Five Mile Rd

Livonia, MI 481541971

Phone: 7346554800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.