NATHANIEL ANDERSON – Gerontology Nurse Practitioner, NPI 1336696590

NATHANIEL ANDERSON is a healthcare provider. based in Yarmouth, Maine. specializing in Gerontology Nurse Practitioner. They hold a License No. CNP161101 (ME). The NPI Number for NATHANIEL ANDERSON is 1336696590

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL ANDERSON
NPI
1336696590
Phone
Not provided
Address
266 E ELM ST
Enumeration Date
6 September 2016
Last Update Date
11 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078656131
Graduation Year
2016 (10 years ago)
PAC ID
8123316189
Group Practice PAC ID
7214926351
Professional Enrollment ID
I20161007000842
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for NATHANIEL ANDERSON

  • 266, East Elm Street, Yarmouth Junction, Cumberland County, Maine, 04096, United States

    YARMOUTH, ME 040967116

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2016-10-07

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
I20161007000842INurse PractitionerMETBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes481104$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes26262$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes7357$0
View full utilization report →

Insurance plans in this area (ZIP 04096)

Loading plans...

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: 7214926351View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find NATHANIEL ANDERSON's NPI?
You can confirm NATHANIEL ANDERSON with NPI 1336696590; it appears in the national provider directory.
Is NATHANIEL ANDERSON currently active in the NPI registry?
CMS-published data lists NATHANIEL ANDERSON as an active registrant.
What field does NATHANIEL ANDERSON work in?
You can think of NATHANIEL ANDERSON as practicing within Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is NATHANIEL ANDERSON's primary listing?
We display Yarmouth, Maine because that is what the record indicates for NATHANIEL ANDERSON.
How can I contact NATHANIEL ANDERSON?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

PATRICIA HOLT (GNP)

Gerontology Nurse Practitioner
PO BOX 284
NPI: 1982680187

NANCY M NICKERSON (GNP)

Gerontology Nurse Practitioner
655, Main Street, Saco, York County, Maine, 04072, United States
NPI: 1285610493

MARY DESALLE (GNP)

Gerontology Nurse Practitioner
PO BOX 284
NPI: 1427034396

University Healthcare

Family Medicine Physician
Decary Hall, 11, Hills Beach Road, Hills Beach, Biddeford, York County, Maine, 04005, United States
NPI: 1699752055

MICHELLE HOPKINS CARNES (ANP)

Adult Health Nurse Practitioner
2946 E. Banner Gateway Drive
NPI: 1689648487

MS. NAN M BOUCHER (ANP)

Gerontology Nurse Practitioner
PO BOX 95000 LBX 7650
NPI: 1033157227