Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kade Douglas Anderson, PA

Individual provider Physician Assistant · NPI 1699043315

Mr. Kade Douglas Anderson, PA is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2011, 15 years ago. Practices with Ascend LLC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2011
Specialties on file
5
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404-6371
Phone: (208) 419-3002
Fax: (208) 656-5652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0808X · Licence PA-950 (ID)
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-950 (ID)
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0807X · Licence PA-950 (ID)
Adult Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0809X · Licence PA-950 (ID)

Record details

NPI number1699043315
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 8, 2011
Last updated in NPPESFebruary 10, 2023
Certification dateFebruary 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ascend Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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