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

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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