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NATHANIEL ANDERSON
NPI 1336696590
Nurse Practitioner - Gerontology in Yarmouth, ME

Active since September 06, 2016PECOS Enrolled
266 E ELM ST, YARMOUTH, ME 04096(207) 232-9105 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2020, Jun 16, 2020, Dec 13, 2018 (3 updates tracked since 2018).

About Nathaniel Anderson NPPES

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

NATHANIEL ANDERSON (NPI 1336696590) is an individual gerontology provider in Yarmouth, Maine, licensed in Maine (CNP161101) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336696590
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameNATHANIEL ANDERSON
Location Address266 E ELM STYarmouth, ME 04096-7116
Mailing Address266 E Elm StYarmouth, ME 04096-7116
Phone(207) 232-9105
Sole ProprietorNo
Enumeration DateSeptember 6, 2016
Last NPPES UpdateSeptember 11, 20203 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
✔ NPI 1336696590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in ME · CNP161101
266 E ELM ST, Yarmouth, ME 04096
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Other Names 1

Other Name (5)Nath Anderson N.p.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathaniel Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Nathaniel Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Hospital
12 mi
General Acute Care Hospital
195 FORE RIVER PKWY, SUITE 300
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 322 clinicians in this Medicare group
NPI 1427313048 (207) 879-3601

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
334 services55 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
243 services54 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
117 services35 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
38 services22 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
33 services24 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
18 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04096 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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 Nathaniel Anderson's NPI number?

The NPI number for Nathaniel Anderson is 1336696590. It was assigned to this individual provider in the NPPES registry on September 6, 2016. The provider is also known as Nath Anderson N.P..

Where is Nathaniel Anderson located?

Nathaniel Anderson practices at 266 E Elm St, Yarmouth, ME 04096. The listed phone number is (207) 232-9105.

What is Nathaniel Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nathaniel Anderson enrolled in Medicare?

Yes. Nathaniel Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nathaniel Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Anderson reassigns Medicare benefits to Mercy Hospital (Portland, ME). 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 Nathaniel Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathaniel Anderson accept?

Health plans from Anthem Blue Cross and Blue Shield list Nathaniel 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.

When was this NPI record last updated?

The NPPES record for Nathaniel Anderson was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.