MICHAEL ALLEN ANDERSON (PA) – Medical Physician Assistant, NPI 1144658253

MICHAEL ALLEN ANDERSON (PA) is a healthcare provider. based in Sequim, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. MA063449 (PA). The NPI Number for MICHAEL ALLEN ANDERSON (PA) is 1144658253

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL ALLEN ANDERSON (PA)
NPI
1144658253
Phone
(360) 683-5900
Address
808 N 5TH AVE
Enumeration Date
29 October 2013
Last Update Date
2 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7122433250
Graduation Year
2013 (13 years ago)
PAC ID
0749418903
Group Practice PAC ID
5294634994
Professional Enrollment ID
I20241030003497
Address ID
IA500221936AT1501XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:12State licenses:2Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for MICHAEL ALLEN ANDERSON (PA)

  • 808 N 5TH AVE

    SEQUIM, WA 983823045

    Phone: (360) 683-5900

    Type: Mailing

  • 1501 E 10TH ST

    ATLANTIC, IA 500221936

    Phone: (712) 243-3250

    Type: Mailing

  • 3421 CONCORD RD

    YORK, PA 174029001

    Phone: (717) 639-3350

    Fax: (717) 303-3546

    Type: Mailing

  • 9 NATHAN LN

    ANNVILLE, PA 170036500

    Phone: (717) 639-3350

    Fax: (717) 303-3546

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Novo Nordisk Inc ($55).

Total Amount

$170

General + Research + Ownership

Payments

7

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

Latest reported date

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: 2024-10-30

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
I20220503000719IPhysician AssistantPATBD
I20241030003497IPhysician AssistantIATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes351290$0
99213Established patient office or other outpatient visit, 20-29 minutes146132$0
99495Transitional care management services for problem of at least moderate complexity4341$0
99203New patient office or other outpatient visit, 30-44 minutes2525$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 98382)

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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: 5294634994View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIA
Internal MedicineIA
Emergency MedicineIA
Internal Medicine, RheumatologyIA
Family PracticeIA
Nurse PractitionerUT
Family PracticeSC
General SurgeryIA
R H E U M A T O L O G YIA
Physician AssistantIA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHAEL ALLEN ANDERSON (PA)?
MICHAEL ALLEN ANDERSON (PA) — NPI 1144658253 — is the standard way to identify this listing.
Is MICHAEL ALLEN ANDERSON (PA) still practicing?
MICHAEL ALLEN ANDERSON (PA) is currently listed as active in the public NPI registry.
What is MICHAEL ALLEN ANDERSON (PA) best known for clinically?
Directory data describes MICHAEL ALLEN ANDERSON (PA) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MICHAEL ALLEN ANDERSON (PA) based?
MICHAEL ALLEN ANDERSON (PA) is tied to Sequim, Washington 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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