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ANDREA GRAHAM SOUTHERLAND NP
NPI 1932353380
Nurse Practitioner - Family in Riverton, UT

Active since November 12, 2008PECOS Enrolled
1420 W 12600 S STE 102, RIVERTON, UT 84065(801) 254-4600(801) 254-9670 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Graham Southerland Np NPPES

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

ANDREA GRAHAM SOUTHERLAND NP (NPI 1932353380) is an individual family provider in Riverton, Utah, licensed in Utah (4552609-4405) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932353380
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA GRAHAM SOUTHERLANDCredential: NP
Location Address1420 W 12600 S STE 102Riverton, UT 84065-7080
Mailing Address1420 W 12600 S Ste 102Riverton, UT 84065-7080 · (801) 254-4600 · Fax (801) 254-9670
Phone(801) 254-4600
Fax(801) 254-9670
Sole ProprietorNo
Enumeration DateNovember 12, 2008
Last NPPES UpdateJune 5, 2019
✔ NPI 1932353380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 4552609-4405
1420 W 12600 S STE 102, Riverton, UT 84065
Open in Google Maps ↗

Other Identifiers 1

Other1932353380UT · Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Graham Southerland Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84065 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 3

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

MELANIE ARRINGTON FNP
Family Medicine
1420 W 12600 S STE 102
RIVERTON, UT 84065
Salt Lake County (801) 254-4600
MARCELLA ROWLEY FNP
Nurse Practitioner (Primary Care)
1420 W 12600 S STE 102
RIVERTON, UT 84065
Salt Lake County (801) 254-4600
NEW HORIZON MEDICAL CARE INC
Family Medicine
1420 W 12600 S STE 102
RIVERTON, UT 84065
Salt Lake County (801) 254-4600

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 Andrea Southerland's NPI number?

The NPI number for Andrea Southerland is 1932353380. It was assigned to this individual provider in the NPPES registry on November 12, 2008.

Where is Andrea Southerland located?

Andrea Southerland practices at 1420 W 12600 S Ste 102, Riverton, UT 84065. The listed phone number is (801) 254-4600.

What is Andrea Southerland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Southerland enrolled in Medicare?

Yes. Andrea Southerland is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Southerland was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.