VICTORIA LAUREN VANDERWALL RN
NPI 1831770684
Nurse Anesthetist, Certified Registered in Chattanooga, TN

Q: What is Victoria Vanderwall's NPI number?

The NPI number for Victoria Vanderwall is 1831770684. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Q: What is Victoria Vanderwall's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since April 14, 2021Accepts Medicare Assignment

2525 DESALES AVE, CHATTANOOGA, TN 37404(423) 290-8227 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2021, Sep 10, 2021, Apr 14, 2021 (3 updates tracked since 2021).

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About Victoria Lauren Vanderwall Rn NPPES

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

VICTORIA LAUREN VANDERWALL RN (NPI 1831770684) is an individual nurse anesthetist, certified registered in Chattanooga, Tennessee, licensed in Tennessee (30423) and active in the NPI registry since April 2021. She is affiliated with Memorial Healthcare System, Inc and is a graduate of Other (2021).

NPPES Registry Identity

NPI1831770684

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameVICTORIA LAUREN VANDERWALLCredential: RN

Location Address2525 DESALES AVEChattanooga, TN 37404-1161

Mailing Address164 Maple StDayton, TN 37321-6080 · (423) 290-8227

Phone(423) 290-8227

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 14, 2021

Last NPPES UpdateDecember 6, 20213 updates tracked since enumeration

NPPES CertifiedNovember 23, 2021

✔ NPI 1831770684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TN · 30423

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 214818 (TN)

2525 DESALES AVE, Chattanooga, TN 37404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Victoria Lauren Vanderwall Rn 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 ID8820488935

PECOS Enrollment IDI20211203002239, I20260116000797

Medicare Billing Reassignments

Medicare enrollment records show Victoria Vanderwall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Health Partners Foundation, Inc

3.3 mi

Internal Medicine

5600 BRAINERD RD, SUITE 500
Chattanooga, TN 37411

Reassigned Medicare billing, Georgia and Tennessee enrollments
242 clinicians in this Medicare group

NPI 1922053545 (423) 495-6870

American Anesthesiology Of Tennessee, P.C.

98 mi

Nurse Anesthetist, Certified Registered

501 20TH ST, SUITE 606
Knoxville, TN 37916

Reassigned Medicare billing, Tennessee enrollment
Medicare enrollment name: American Anesthesiology Of Tennessee PC
959 clinicians in this Medicare group

NPI 1245279777 (865) 546-8040

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 4

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

32 services32 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

18 services18 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

15 services15 patients

Anesthesia for insertion of permanent heart pacemaker 00530

Anesthesia for a permanent heart pacemaker insertion helps to ensure comfort and calmness during the procedure. It's typically a local anesthetic, numbing the area where the pacemaker is inserted. Sedation may also be given to help you relax. You'll be awake, but may not remember the procedure.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

DR. COURTNEY ELIZABETH PEARSON PHARMD, MPH, BCPS

Pharmacist