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NICHOLAS ANDERSON PA-C
NPI 1093281016
Physician Assistant in Idaho Falls, ID

Active since October 17, 2018PECOS EnrolledAccepts Medicare Assignment
71.81/100
CMS Quality Rating
3200 CHANNING WAY STE 206, IDAHO FALLS, ID 83404(208) 529-2230(208) 453-6142 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2024, Nov 1, 2023, Jan 24, 2023 and 5 more (8 updates tracked since 2018).

About Nicholas Anderson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS ANDERSON PA-C (NPI 1093281016) is an individual physician assistant in Idaho Falls, Idaho, licensed in Idaho (PA-1788) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093281016
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS ANDERSONCredential: PA-C
Location Address3200 CHANNING WAY STE 206Idaho Falls, ID 83404-7546
Mailing Address3200 Channing Way Ste A206Idaho Falls, ID 83404-7586 · (208) 529-2230 · Fax (208) 561-8061
Phone(208) 529-2230
Fax(208) 453-6142
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 17, 2018
Last NPPES UpdateJune 9, 20268 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1093281016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-1788
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3200 CHANNING WAY STE 206, Idaho Falls, ID 83404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Anderson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577803576
PECOS Enrollment IDI20191226000065
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality88.62
Promoting Interoperability0
Improvement Activities40

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JHADE WOODALL MD
Plastic Surgery
3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2230
MR. STEVEN C COOK NP-C
Nurse Practitioner (Family)
3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2230
ADAM MEZIANI M.D.
Surgery
3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2230
DR. TAIT DELL OLAVESON D.O.
Surgery
3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2230
KARA DEE BOLL
Nurse Practitioner (Family)
3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2230
JOSHUA SUMMERS DO
Surgery
3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2230
MICHAEL LYNN LEMON DO
Surgery (Trauma Surgery)
3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2230
NICHOLAS BRADFORD JOHNSON MD
Plastic Surgery
3200 CHANNING WAY STE 206
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2230

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 Nicholas Anderson's NPI number?

The NPI number for Nicholas Anderson is 1093281016. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Where is Nicholas Anderson located?

Nicholas Anderson practices at 3200 Channing Way Ste 206, Idaho Falls, ID 83404. The listed phone number is (208) 529-2230.

What is Nicholas Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Anderson enrolled in Medicare?

Yes. Nicholas Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Anderson accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Nicholas Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicholas Anderson affiliated with any hospitals?

According to CMS data, Nicholas Anderson is affiliated with Eastern Idaho Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Anderson was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.