DR. NATHANAEL JONATHAN CORDUAN PSYD
NPI 1053640466
Psychologist in Spokane, WA
About Dr. Nathanael Jonathan Corduan Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NATHANAEL JONATHAN CORDUAN PSYD (NPI 1053640466) is an individual psychologist in Spokane, Washington, licensed in Washington (PY60073433) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Nathanael Jonathan Corduan Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nathanael Corduan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spokane, WA 99202
- Reassigned Medicare billing, Washington enrollment
- 136 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nathanael Corduan's NPI number?
The NPI number for Nathanael Corduan is 1053640466. It was assigned to this individual provider in the NPPES registry on December 14, 2009.
Where is Nathanael Corduan located?
Nathanael Corduan practices at 107 S Division St, Spokane, WA 99202. The listed phone number is (509) 838-4651.
What is Nathanael Corduan's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Nathanael Corduan enrolled in Medicare?
Yes. Nathanael Corduan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nathanael Corduan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathanael Corduan reassigns Medicare benefits to Frontier Behavioral Health (Spokane, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathanael Corduan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nathanael Corduan was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.