NATHAN WAYNE LINGAFELTER – Psychiatry Physician, NPI 1104385566

NATHAN WAYNE LINGAFELTER is a healthcare provider. based in Oakland, California. specializing in PSYCHIATRY. They hold a License No. 1014803 (MA). The NPI Number for NATHAN WAYNE LINGAFELTER is 1104385566

Main info

Male
Sole Proprietor
7 Years Of Experience
Name
NATHAN WAYNE LINGAFELTER
NPI
1104385566
Phone
Not provided
Address
275 W MACARTHUR BLVD
Enumeration Date
15 March 2019
Last Update Date
23 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9787411200
Graduation Year
2019 (7 years ago)
PAC ID
7810381753
Group Practice PAC ID
3274427570
Professional Enrollment ID
I20230925002335
Address ID
MA019702714SA81XXXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,134 PSYCHIATRY in CA

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Provider Addresses for NATHAN WAYNE LINGAFELTER

  • 275, West MacArthur Boulevard, Broadway Auto Row, Oakland, Alameda County, California, 94611, United States

    OAKLAND, CA 946115641

    Phone:

    Type: Mailing

  • 55 HIGHLAND AVE STE 201

    SALEM, MA 019702100

    Phone: (978) 825-6620

    Type: Mailing

  • 82 Marlborough St

    Boston, MA 021162020

    Phone: (857) 371-8291

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230925002335IPsychiatryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4017$0
View full utilization report →

Insurance plans in this area (ZIP 94611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274427570View full group profile
NameSpecialtyState
Mental Health CounselorMA
Clinical Social WorkerMA
-MA
Clinical Social WorkerMA
-MA
P S Y C H I A T R YMA
-MA
Internal MedicineMA
Clinical Social WorkerMA
Clinical PsychologistMA

Reviews

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Frequently asked questions

What number should I use to identify NATHAN WAYNE LINGAFELTER for billing?
Administrative and clinical systems typically use NPI 1104385566 for NATHAN WAYNE LINGAFELTER.
Quick check: is NATHAN WAYNE LINGAFELTER active?
Public NPPES data shows NATHAN WAYNE LINGAFELTER with an active NPI status right now.
What does the directory say NATHAN WAYNE LINGAFELTER does?
Insurance directories may phrase it differently, but here NATHAN WAYNE LINGAFELTER maps to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What city is tied to NATHAN WAYNE LINGAFELTER?
The directory associates NATHAN WAYNE LINGAFELTER with Oakland, California. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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