CLINTON M ANDERSON MT, PA-C
NPI 1740511005
Physician Assistant - Medical in Henderson, NV

Q: What is Clinton Anderson's NPI number?

The NPI number for Clinton Anderson is 1740511005. It was assigned to this individual provider in the NPPES registry on January 26, 2010.

Q: What is Clinton Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Clinton Anderson was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 26, 2010PECOS EnrolledAccepts Medicare Assignment

2900 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052(702) 357-8811(702) 947-5352 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2021, Jan 20, 2021, Aug 8, 2018 (3 updates tracked since 2018).

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About Clinton M Anderson Mt, Pa-c NPPES

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

CLINTON M ANDERSON MT, PA-C (NPI 1740511005) is an individual medical provider in Henderson, Nevada, licensed in Nevada (260790928) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Mountainview Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1740511005

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameCLINTON M ANDERSONCredential: MT, PA-C

Location Address2900 W HORIZON RIDGE PKWY STE 100Henderson, NV 89052-5014

Mailing AddressPo Box 778413Henderson, NV 89077-8413 · (702) 357-8811

Phone(702) 357-8811

Fax(702) 947-5352

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJanuary 26, 2010

Last NPPES UpdateMarch 17, 20213 updates tracked since enumeration

NPPES CertifiedMarch 17, 2021

✔ NPI 1740511005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NV · 260790928

2900 W HORIZON RIDGE PKWY STE 100, Henderson, NV 89052

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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

Clinton M Anderson Mt, Pa-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 ID8426187485

PECOS Enrollment IDI20100601000266

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.

Mountainview Hospital

Acute Care Hospitals · Las Vegas, NV

4/5 CMS rating

OwnershipProprietary

CMS Certification Number290039

Location3100 N Tenaya WayLas Vegas, NV 89128 · Clark County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 8

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

SAMIYAH M HOODBHOY PA-C

Physician Assistant