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DR. WAYNE C. ANDERSON ND, PA
NPI 1124251848
Physician Assistant in Santa Rosa, CA

Active since August 27, 2009Opted out of Medicare · through Apr 1, 2028
3471 REGIONAL PKWY, SANTA ROSA, CA 95403(707) 575-5180(707) 575-5509 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Wayne C. Anderson Nd, Pa NPPES

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

DR. WAYNE C. ANDERSON ND, PA (NPI 1124251848) is an individual physician assistant in Santa Rosa, California, licensed in California (PA11839) and active in the NPI registry since August 2009. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124251848
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDR. WAYNE C. ANDERSONCredential: ND, PA
Location Address3471 REGIONAL PKWYSanta Rosa, CA 95403-8209
Mailing Address3471 Regional PkwySanta Rosa, CA 95403-8209 · (707) 575-5180 · Fax (707) 575-5509
Phone(707) 575-5180
Fax(707) 575-5509
Sole ProprietorNo
Enumeration DateAugust 27, 2009
✔ NPI 1124251848 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 CA · PA11839
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.
3471 REGIONAL PKWY, Santa Rosa, CA 95403
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Wayne C. Anderson Nd, Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

Other Providers at the Same Location NPPES 4

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

NEIL J NATHAN MD
Family Medicine
3471 REGIONAL PKWY
SANTA ROSA, CA 95403
Sonoma County (707) 575-5180
JUSTIN CAUNTAY D.O.
Family Medicine
3471 REGIONAL PKWY
SANTA ROSA, CA 95403
Sonoma County (707) 575-5180
AZRA MAEL M.D.
Family Medicine
3471 REGIONAL PKWY
SANTA ROSA, CA 95403
Sonoma County (707) 575-5180
ERIC DAVID GORDON M.D.
Family Medicine
3471 REGIONAL PKWY
SANTA ROSA, CA 95403
Sonoma County (707) 575-5180

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 Wayne Anderson's NPI number?

The NPI number for Wayne Anderson is 1124251848. It was assigned to this individual provider in the NPPES registry on August 27, 2009.

Where is Wayne Anderson located?

Wayne Anderson practices at 3471 Regional Pkwy, Santa Rosa, CA 95403. The listed phone number is (707) 575-5180.

What is Wayne Anderson's specialty?

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

Is Wayne Anderson enrolled in Medicare?

No. Wayne Anderson has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Wayne Anderson was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.