MR. NATHANIEL METHOT (NP) – Nurse Practitioner, NPI 1225422140

MR. NATHANIEL METHOT (NP) is a healthcare provider. based in Tuolumne, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 95002614 (CA). The NPI Number for MR. NATHANIEL METHOT (NP) is 1225422140

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. NATHANIEL METHOT (NP)
NPI
1225422140
Phone
(209) 928-5400
Address
18880 CHERRY VALLEY BLVD
Enumeration Date
28 March 2015
Last Update Date
16 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2099844820
Graduation Year
2015 (11 years ago)
PAC ID
6103121983
Group Practice PAC ID
1759429814
Professional Enrollment ID
I20230816000128
Address ID
CA953279498JA18144STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MR. NATHANIEL METHOT (NP)

  • 18880 CHERRY VALLEY BLVD

    TUOLUMNE, CA 953799506

    Phone: (209) 928-5400

    Type: Mailing

  • 22603 PARROTTS FERRY RD

    COLUMBIA, CA 953109726

    Phone: (209) 588-8900

    Type: Mailing

  • 20194 PHOENIX LAKE RD

    SONORA, CA 953708821

    Phone: (408) 438-3010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $713.

Total Amount is formed as General ($713) + Research ($0) + Ownership ($0) = $713.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($118).

Total Amount

$713

General + Research + Ownership

Payments

34

Total payment records

General Amount

$713

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160217000772INurse PractitionerCATBD
I20230816000128INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95379)

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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: 1759429814View full group profile
NameSpecialtyState
Nurse PractitionerCA
Family Practice, General Practice, Family PracticeCA

Reviews

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Frequently asked questions

Does MR. NATHANIEL METHOT (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. NATHANIEL METHOT (NP) uses 1225422140.
Is MR. NATHANIEL METHOT (NP) listed as active for patients and plans?
The listing shows MR. NATHANIEL METHOT (NP) as active in the NPI system.
What is MR. NATHANIEL METHOT (NP) best known for clinically?
Directory data describes MR. NATHANIEL METHOT (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MR. NATHANIEL METHOT (NP) based?
MR. NATHANIEL METHOT (NP) is tied to Tuolumne, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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