NATHANIEL ASHBY VAN VALIN (PA) – Medical Physician Assistant, NPI 1386821759

NATHANIEL ASHBY VAN VALIN (PA) is a healthcare provider. based in Coeur d alene, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA1482 (ID). The NPI Number for NATHANIEL ASHBY VAN VALIN (PA) is 1386821759

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL ASHBY VAN VALIN (PA)
NPI
1386821759
Phone
(208) 625-5700
Address
2003 Kootenai Health Way
Enumeration Date
28 January 2008
Last Update Date
30 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5092521299
Graduation Year
2005 (21 years ago)
PAC ID
5092898171
Group Practice PAC ID
6002246188
Professional Enrollment ID
I20080213000055
Address ID
WA992021332SP510XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for NATHANIEL ASHBY VAN VALIN (PA)

  • 2003 Kootenai Health Way

    Coeur D Alene, ID 838146051

    Phone: (208) 625-5700

    Fax: (208) 625-5708

    Type: Location

  • 1875 N Lakewood Dr Fl 3

    Coeur D Alene, ID 838144928

    Phone: (509) 381-3540

    Fax: (509) 381-3540

    Type: Location

  • 2003 KOOTENAI HEALTH WAY

    COEUR D ALENE, ID 838146051

    Phone: (208) 625-5085

    Fax: (208) 625-5731

    Type: Mailing

  • 7173 E Super 1 Loop Ste A

    Athol, ID 838017109

    Phone: (208) 561-9970

    Fax: (208) 561-9997

    Type: Location

  • 315 W Dalton Ave Ste A

    Coeur D Alene, ID 838158600

    Phone: (208) 209-2060

    Fax: (208) 209-2070

    Type: Location

  • 750 N SYRINGA ST STE 100

    POST FALLS, ID 838545275

    Phone: (208) 262-2600

    Fax: (208) 262-2700

    Type: Location

  • 1593 E POLSTON AVE

    POST FALLS, ID 838545326

    Phone: (208) 262-2498

    Fax: (509) 381-3540

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $166.

Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Exact Sciences Corporation ($54).

Total Amount

$166

General + Research + Ownership

Payments

8

Total payment records

General Amount

$166

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2017-05-25

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
I20080213000055IPhysician AssistantWATBD
I20170525000688IPhysician AssistantIDTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes239224$0
99203New patient office or other outpatient visit, 30-44 minutes7777$0
99214Established patient office or other outpatient visit, 30-39 minutes7472$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
99212Established patient office or other outpatient visit, 10-19 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 83814)

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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: 6002246188View full group profile
NameSpecialtyState
D E R M A T O L O G YIL
Physician AssistantWA
Physical Medicine And RehabilitationWA
Internal Medicine, DermatologyWA
D E R M A T O L O G YFL
Physician AssistantWA
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

What federal number belongs to NATHANIEL ASHBY VAN VALIN (PA)?
The federal identifier for NATHANIEL ASHBY VAN VALIN (PA) is NPI 1386821759.
Is NATHANIEL ASHBY VAN VALIN (PA) active in the national directory?
NATHANIEL ASHBY VAN VALIN (PA)'s public NPI profile is in an active state.
What does NATHANIEL ASHBY VAN VALIN (PA) treat or focus on?
Patients typically see NATHANIEL ASHBY VAN VALIN (PA) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place NATHANIEL ASHBY VAN VALIN (PA)?
The snapshot lists Coeur D Alene, Idaho for NATHANIEL ASHBY VAN VALIN (PA); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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