ELIZABETH A VANDERGAAG (ARNP) – Family Nurse Practitioner, NPI 1174697296
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
Provider Addresses for ELIZABETH A VANDERGAAG (ARNP)
625 9th Avenue
Ste 210
Longview, WA 986322465
Phone: (360) 501-3400
Fax: (360) 423-6862
Type: Location
17198 ST LUKES WAY STE 600
THE WOODLANDS, TX 773848017
Phone: (936) 266-2450
Fax: (936) 266-8602
Type: Mailing
625, 9th Avenue, Longview, Cowlitz County, Washington, 98632, United States
STE 210
LONGVIEW, WA 986322465
Phone: (360) 501-3400
Fax: (360) 423-6862
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2023-09-15 • Largest payer in this snapshot: Eisai Inc. ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Eisai Inc. | $27 |
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: 2015-01-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150126000155 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 30 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 28 | 28 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 98632)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TX | |
| - | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| Internal Medicine, Infectious Disease | TX | |
| Family Practice | TX | |
| - | TX | |
| Pulmonary Disease | MO | |
| - | TX | |
| - | TX |
Reviews
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