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

Nathan Vandegraaff

Individual provider Physician Assistant · NPI 1215614037

Nathan Vandegraaff is a Physician Assistant in Phoenix, Arizona. Graduated from Midwestern University College of Dental Medicine, Glendale in 2023, 3 years ago. Practices with Heart One Associates LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Trained at
Midwestern University College of Dental Medicine, Glendale
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

9520 W Palm Ln Ste 150
Phoenix, AZ 85037-4454
Phone: (602) 584-5444
Fax: (602) 584-6202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9728 (AZ)

Record details

NPI number1215614037
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 3, 2023
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023
Mailing address9520 W Palm Ln Ste 150, Phoenix, AZ 85037-4454

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
Graduated 2023 (3 years in practice)
Group practice Heart One Associates Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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