NATASHA KURNIAWAN
NPI 1467264630
Physician Assistant in Dover, NH

Active since January 23, 2025PECOS Enrolled
789 CENTRAL AVE, DOVER, NH 03820(603) 742-5252 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Natasha Kurniawan NPPES

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

NATASHA KURNIAWAN (NPI 1467264630) is an individual physician assistant in Dover, New Hampshire and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Wentworth-douglass Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1467264630
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNATASHA KURNIAWAN
Location Address789 CENTRAL AVEDover, NH 03820-2526
Mailing Address789 Central AveDover, NH 03820-2526
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 23, 2025
Last NPPES UpdateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
NPI 1467264630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

789 CENTRAL AVE, Dover, NH 03820

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7214456938
PECOS Enrollment IDI20250527002010
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.

Hospital Affiliations CMS Care Compare

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

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03820 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
789 CENTRAL AVE, WENTWORTH-DOUGLASS HOSPITAL
DOVER, NH 03820
Pathology (Anatomic Pathology & Clinical Pathology)
789 CENTRAL AVE
DOVER, NH 03820
Pathology (Anatomic Pathology & Clinical Pathology)
789 CENTRAL AVE
DOVER, NH 03820
Emergency Medicine
789 CENTRAL AVE
DOVER, NH 03820
Emergency Medicine
789 CENTRAL AVE, WENTWORTH DOUGLASS HOSPITAL
DOVER, NH 03820
Pathology (Clinical Pathology/Laboratory Medicine)
789 CENTRAL AVE
DOVER, NH 03820
Hospitalist
789 CENTRAL AVE, LEVEL 2
DOVER, NH 03820
Emergency Medicine (Emergency Medical Services)
789 CENTRAL AVE, EMERGENCY DEPT
DOVER, NH 03820

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467264630, enumerated as an "individual" on January 23, 2025.

The provider is located at 789 CENTRAL AVE DOVER, NH 03820 and the phone number is (603) 742-5252.

Physician Assistant with taxonomy code 363A00000X.

Natasha Kurniawan is affiliated with: WENTWORTH-DOUGLASS HOSPITAL.