Chad Andersen, NP
Individual provider Active NPI Nurse Practitioner · St George, UT
NPI 1881240919 · NPPES record last updated Apr 3, 2026
Key facts
- NPI
- 1881240919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 11501225-4405 (UT)
- Practice address
- 1739 W Sunset Blvd
St George, UT 84770-7141 - Phone
- (435) 634-6012
- NPI assigned
- Aug 14, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1739 W Sunset Blvd
St George, UT 84770-7141
Phone (435) 624-6000
Hospital & facility affiliations
- St. George Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200330002612 | UT | Practitioner - Nurse Practitioner | 9133558927 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11501225-4405 | UT | MD | Nurse Practitioner |
| 230938 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Service Inc | Family Medicine | Current |
Accepting new patients |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1739 W Sunset Blvd
St George, UT 84770
Phone (435) 634-6000
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 230938 | AZ | |
| Nurse Practitioner | 363L00000X | 11501225-4405 | UT | Yes |
Addresses
Primary practice location
1739 W Sunset Blvd
St George, UT 84770-7141
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 634-6012
Other practice location 1
3658 W Goldmine Mountain Dr
San Tan Valley, AZ 85142-6593
Phone (480) 388-6121
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service | Other | Bluemark LLC / Office Ally |
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.