BRYCE WADE ANDERSEN NP-C
NPI 1174955306
Nurse Practitioner - Primary Care in Idaho Falls, ID

Q: What is Bryce Andersen's NPI number?

The NPI number for Bryce Andersen is 1174955306. It was assigned to this individual provider in the NPPES registry on July 30, 2013.

Q: What is Bryce Andersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Bryce Andersen was last updated on March 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 30, 2013PECOS EnrolledAccepts Medicare Assignment

3385 POTOMAC WAY, IDAHO FALLS, ID 83404(208) 522-7246 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Bryce Wade Andersen Np-c NPPES

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

BRYCE WADE ANDERSEN NP-C (NPI 1174955306) is an individual primary care provider in Idaho Falls, Idaho, licensed in Idaho (NP1303A) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of University Of Utah School Of Medicine (2013).

NPPES Registry Identity

NPI1174955306

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameBRYCE WADE ANDERSENCredential: NP-C

Location Address3385 POTOMAC WAYIdaho Falls, ID 83404-4978

Mailing Address690 N 700 EFirth, ID 83236-1134 · (208) 521-3870

Phone(208) 522-7246

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2013

Enumeration DateJuly 30, 2013

Last NPPES UpdateMarch 11, 2024

NPPES CertifiedMarch 11, 2024

✔ NPI 1174955306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in ID · NP1303A

3385 POTOMAC WAY, 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., PacificSource Health Plans, Providence Health Plan and more.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

Bryce Wade Andersen Np-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 ID2961636097

PECOS Enrollment IDI20131003000514

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 2

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

164 services66 patients

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.

21 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID

1/5 CMS rating

OwnershipPhysician

CMS Certification Number130065

Location2325 Coronado StreetIdaho 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

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

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 5

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

NIKKI LYN BERRETT LCSW

Social Worker (Clinical)