NPI Lens

Anders K. Waalen

NPI 1336776806ActiveIndividual· Student in an Organized Health Care Education/Training Program· Port Jefferson, NY

Student in an Organized Health Care Education/Training Program with Southern California Permanente Medical Group, practicing in Port Jefferson, New York. Part D covered 40 prescriptions written in 2024, 88% of them generic.

Overview

NPI1336776806
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 25, 2020
Last updated in NPPESOct 25, 2024
Certified by providerMar 25, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Student in an Organized Health Care Education/Training Program Primary390200000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Psychiatry (CA)

Part D prescriptions in 2024

Prescriptions (claims)40 · 74 30-day fills
Patients17
Total drug cost$8,806
Generic share88% of claims

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyPsychiatry

Medical group

Source: CMS Care Compare

Other Student in an Organized Health Care Education/Training Program providers in Port Jefferson

All 148 Student in an Organized Health Care Education/Training Program providers in Port Jefferson · All Student in an Organized Health Care Education/Training Program providers in New York