DR. NATHAN S ANDERSON (M.D.) – Cardiovascular Disease Physician, NPI 1861698656

DR. NATHAN S ANDERSON (M.D.) is a healthcare provider. based in Liberty lake, Washington. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 0101245111 (VA). The NPI Number for DR. NATHAN S ANDERSON (M.D.) is 1861698656

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHAN S ANDERSON (M.D.)
NPI
1861698656
Phone
(866) 747-2455
Address
PO BOX 12
Enumeration Date
27 June 2007
Last Update Date
15 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7073038330
Graduation Year
2007 (19 years ago)
PAC ID
9537599253
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20230727002890
Address ID
CA954054559SA500XXDRXX406
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

3,010 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CA

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Provider Addresses for DR. NATHAN S ANDERSON (M.D.)

  • Liberty Lake, Spokane County, Washington, 99019, United States

    LIBERTY LAKE, WA 990190012

    Phone: (866) 747-2455

    Type: Mailing

  • 101, Bodin Circle, Fairfield, Solano County, California, 94535, United States

    60MDG/SGCS HEART, LUNG AND VASCULAR INSTITUTE

    TRAVIS AFB, CA 945351809

    Phone: (707) 423-5136

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $338.

Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($90).

Total Amount

$338

General + Research + Ownership

Payments

17

Total payment records

General Amount

$338

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2023-07-27

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
I20230727002890ICardiovascular Disease (Cardiology)CATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only922759$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function550543$0
99214Established patient office or other outpatient visit, 30-39 minutes273258$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report229223$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician182180$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

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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: 8921993205View full group profile

Reviews

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Frequently asked questions

How is DR. NATHAN S ANDERSON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. NATHAN S ANDERSON (M.D.) with NPI 1861698656.
Can I rely on DR. NATHAN S ANDERSON (M.D.) being an active provider?
As of the registry snapshot, DR. NATHAN S ANDERSON (M.D.) is marked active.
What taxonomy line describes DR. NATHAN S ANDERSON (M.D.)?
For research purposes, treat DR. NATHAN S ANDERSON (M.D.) as Cardiovascular Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. NATHAN S ANDERSON (M.D.)?
DR. NATHAN S ANDERSON (M.D.)'s geographic hint is Liberty Lake, Washington in our summary view.
Is the information about DR. NATHAN S ANDERSON (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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