DR. AARON KEVIN ANDERSEN (D.O.) – Psychiatry Physician, NPI 1679821334

DR. AARON KEVIN ANDERSEN (D.O.) is a healthcare provider. based in Fort campbell, Kentucky. specializing in Psychiatry Physician. They hold the professional credentials D.O.. They hold a License No. OP61111296 (WA). The NPI Number for DR. AARON KEVIN ANDERSEN (D.O.) is 1679821334

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. AARON KEVIN ANDERSEN (D.O.)
NPI
1679821334
Phone
Not provided
Address
650 JOEL DR RM 2EB11
Enumeration Date
28 August 2012
Last Update Date
9 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7018575998
Graduation Year
2012 (14 years ago)
PAC ID
6901020338
Group Practice PAC ID
7911816020
Professional Enrollment ID
I20200217004659
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for DR. AARON KEVIN ANDERSEN (D.O.)

  • 650 JOEL DR RM 2EB11

    FORT CAMPBELL, KY 422235349

    Phone:

    Type: Mailing

  • 650 JOEL DR

    FORT CAMPBELL, KY 42223

    Phone: (931) 431-4677

    Type: Location

  • 835 E 1200 S

    OREM, UT 840976603

    Phone: (307) 267-6170

    Fax: (801) 877-0002

    Type: Location

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone:

    Type: Mailing

  • 1550 N 115TH ST

    SEATTLE, WA 981338401

    Phone: (206) 520-5000

    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: 2020-11-09

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
I20200121001823IPsychiatryTNTBD
I20201109002610IPsychiatryWATBD

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 42223)

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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: 7911816020View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)ND
-ND
-ND
Nurse PractitionerND
-ND
O P T O M E T R YND
Nurse PractitionerND
Nurse PractitionerND
-CT
Nurse PractitionerND

Reviews

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Frequently asked questions

How do payers reference DR. AARON KEVIN ANDERSEN (D.O.)?
For DR. AARON KEVIN ANDERSEN (D.O.), use NPI 1679821334 as the unique 10-digit identifier.
Is there an active status for DR. AARON KEVIN ANDERSEN (D.O.)?
For scheduling context, DR. AARON KEVIN ANDERSEN (D.O.) is shown as active in the registry.
What area of care is associated with DR. AARON KEVIN ANDERSEN (D.O.)?
DR. AARON KEVIN ANDERSEN (D.O.)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. AARON KEVIN ANDERSEN (D.O.)?
Directory geography for DR. AARON KEVIN ANDERSEN (D.O.) centers on Fort Campbell, Kentucky.
When was this NPI issued?
Enumeration for DR. AARON KEVIN ANDERSEN (D.O.) is noted as August 28, 2012 where the registry provides it.

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