MR. KADE DOUGLAS ANDERSON P.A.
NPI 1699043315
Clinical Nurse Specialist - Psychiatric/Mental Health in Idaho Falls, ID

Q: What is Kade Anderson's NPI number?

The NPI number for Kade Anderson is 1699043315. It was assigned to this individual provider in the NPPES registry on December 8, 2011.

Q: What is Kade Anderson's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kade Anderson was last updated on February 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 08, 2011PECOS EnrolledAccepts Medicare Assignment

2001 S WOODRUFF AVE STE 9, IDAHO FALLS, ID 83404(208) 419-3002(208) 656-5652 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2023, Oct 22, 2022, Oct 1, 2020 (3 updates tracked since 2020).

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About Mr. Kade Douglas Anderson P.a. NPPES

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

MR. KADE DOUGLAS ANDERSON P.A. (NPI 1699043315) is an individual psychiatric/mental health provider in Idaho Falls, Idaho, licensed in Idaho (PA-950) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1699043315

Entity TypeIndividualMale

Primary Taxonomy364SP0808X

Provider Legal NameMR. KADE DOUGLAS ANDERSONCredential: P.A.

Location Address2001 S WOODRUFF AVE STE 9Idaho Falls, ID 83404-6371

Mailing Address2001 S Woodruff Ave Ste 9Idaho Falls, ID 83404-6371 · (208) 419-3002 · Fax (208) 656-5652

Phone(208) 419-3002

Fax(208) 656-5652

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateDecember 8, 2011

Last NPPES UpdateFebruary 10, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2023

✔ NPI 1699043315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0808X

License✔ Licensed in ID · PA-950

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA-950 (ID)

Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, Child & AdolescentTaxonomy 364SP0807X · License PA-950 (ID)

Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X · License PA-950 (ID)

2001 S WOODRUFF AVE STE 9, 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

Mr. Kade Douglas Anderson P.a. 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 ID547426900

PECOS Enrollment IDI20120730000590

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 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.

72 services25 patients

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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

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.

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Other Providers at the Same Location NPPES 14

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

RANDALL JAMES LAW PA-C

Physician Assistant (Medical)