ALEXANDER N VANDERHOLM – Behavior Technician, NPI 1447826706
Behavior Technician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ALEXANDER N VANDERHOLM
1139 DRY LAKE RD
MANSON, WA 988319724
Phone: (509) 319-9378
Type: Mailing
110 S APPLE BLOSSOM DR
CHELAN, WA 988168810
Phone: (509) 682-3300
Type: Location
737 N 150 E
SPRINGVILLE, UT 846631126
Phone:
Type: Mailing
515 S 700 E STE 2A
SALT LAKE CITY, UT 841022855
Phone: (801) 935-4171
Fax: (801) 935-4946
Type: Location
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: 2025-02-12
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 |
|---|---|---|---|---|
| I20250212001438 | I | Physical Therapist In Private Practice | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98831)
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