CLINTON M ANDERSON (MT, PA-C) – Medical Physician Assistant, NPI 1740511005

CLINTON M ANDERSON (MT, PA-C) is a healthcare provider. based in Henderson, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MT, PA-C. They hold a License No. 260790928 (NV). The NPI Number for CLINTON M ANDERSON (MT, PA-C) is 1740511005

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
CLINTON M ANDERSON (MT, PA-C)
NPI
1740511005
Phone
(702) 357-8811
Address
2900 W HORIZON RIDGE PKWY STE 100
Enumeration Date
26 January 2010
Last Update Date
17 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7022870748
Graduation Year
2009 (17 years ago)
PAC ID
8426187485
Group Practice PAC ID
5496032617
Professional Enrollment ID
I20100601000266
Address ID
NV891667127LA7021XSTXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for CLINTON M ANDERSON (MT, PA-C)

  • 2900 W HORIZON RIDGE PKWY STE 100

    HENDERSON, NV 890525014

    Phone: (702) 357-8811

    Fax: (702) 947-5352

    Type: Location

  • PO BOX 778413

    HENDERSON, NV 890778413

    Phone: (702) 357-8811

    Type: Mailing

  • Fire Mesa Street, Las Vegas Technology Park, Desert Shores, Las Vegas, Clark County, Nevada, 89128, United States

    LAS VEGAS, NV 891289009

    Phone: (725) 200-3232

    Fax: (725) 200-3233

    Type: Mailing

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: 2010-06-01

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
I20100601000266IPhysician AssistantNVTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes664135$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes264131$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes114110$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1912$0
View full utilization report →

Insurance plans in this area (ZIP 89052)

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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: 5496032617View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineNV

Reviews

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Frequently asked questions

What federal number belongs to CLINTON M ANDERSON (MT, PA-C)?
The federal identifier for CLINTON M ANDERSON (MT, PA-C) is NPI 1740511005.
Is CLINTON M ANDERSON (MT, PA-C) active in the national directory?
CLINTON M ANDERSON (MT, PA-C)'s public NPI profile is in an active state.
What field does CLINTON M ANDERSON (MT, PA-C) work in?
You can think of CLINTON M ANDERSON (MT, PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for CLINTON M ANDERSON (MT, PA-C)?
The page summarizes Henderson, Nevada for CLINTON M ANDERSON (MT, PA-C); expand the address list for detail.
How can I contact CLINTON M ANDERSON (MT, PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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