AMY J. ANDERSON (MD) – Family Medicine Physician, NPI 1306848379

AMY J. ANDERSON (MD) is a healthcare provider. based in Spokane, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD00042179 (WA). The NPI Number for AMY J. ANDERSON (MD) is 1306848379

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
AMY J. ANDERSON (MD)
NPI
1306848379
Phone
(509) 838-2531
Address
PO BOX 3649
Enumeration Date
10 August 2005
Last Update Date
5 April 2021

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
9537149018
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20040723001158
Address ID
WA983351706GI4700XDRXX400
Telehealth
Yes

Contacts

Secure Messaging
aanderson1197418@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,141 FAMILY PRACTICE in WA

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Provider Addresses for AMY J. ANDERSON (MD)

  • PO BOX 3649

    SPOKANE, WA 992203649

    Phone: (509) 838-2531

    Type: Mailing

  • 14408, East Sprague Avenue, Valley Plaza, Veradale, Spokane Valley, Spokane County, Washington, 99216, United States

    SPOKANE VALLEY, WA 992162167

    Phone: (509) 838-2531

    Type: Location

  • 624 E Front Ave

    Spokane, WA 992022139

    Phone: (509) 626-9900

    Fax: (509) 277-7070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $223.

Total Amount is formed as General ($223) + Research ($0) + Ownership ($0) = $223.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Novo Nordisk Inc ($144).

Total Amount

$223

General + Research + Ownership

Payments

3

Total payment records

General Amount

$223

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$144
VIVUS LLC$79
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: 2004-07-23

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
I20040723001158IFamily PracticeWATBD

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 minutes240155$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit131131$0
77063Screening 3d breast mammography6060$0
77067Screening mammography6060$0
99213Established patient office or other outpatient visit, 20-29 minutes4140$0
View full utilization report →

Insurance plans in this area (ZIP 99220)

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Provider's Procedures

AMY J. ANDERSON (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWA83036Hemoglobin A1C level9860

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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

How do payers reference AMY J. ANDERSON (MD)?
For AMY J. ANDERSON (MD), use NPI 1306848379 as the unique 10-digit identifier.
Is there an active status for AMY J. ANDERSON (MD)?
For scheduling context, AMY J. ANDERSON (MD) is shown as active in the registry.
What clinical focus is listed for AMY J. ANDERSON (MD)?
At a glance, AMY J. ANDERSON (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with AMY J. ANDERSON (MD)?
Directory geography for AMY J. ANDERSON (MD) centers on Spokane, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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