SUSAN ANGERHOLZER OVERTON (P.A.) – Surgical Physician Assistant, NPI 1396994521

SUSAN ANGERHOLZER OVERTON (P.A.) is a healthcare provider. based in Mobile, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA.613 (AL). The NPI Number for SUSAN ANGERHOLZER OVERTON (P.A.) is 1396994521

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN ANGERHOLZER OVERTON (P.A.)
NPI
1396994521
Phone
(251) 471-3544
Address
1855 SPRING HILL AVE
Enumeration Date
11 September 2008
Last Update Date
29 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
3476616996
Group Practice PAC ID
4981936796
Professional Enrollment ID
I20090109000456
Address ID
AL366073513MO5XXXXCIRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,201 PHYSICIAN ASSISTANT in AL

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Provider Addresses for SUSAN ANGERHOLZER OVERTON (P.A.)

  • 1855, Spring Hill Avenue, Park Place, Mobile, Mobile County, Alabama, 36607, United States

    MOBILE, AL 366072301

    Phone: (251) 471-3544

    Fax: (251) 471-3544

    Type: Mailing

  • Springhill Avenue, South Crichton, Crichton, Mobile, Mobile County, Alabama, 36608, United States

    MOBILE, AL 366072303

    Phone: (251) 300-2240

    Fax: (251) 300-2249

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-06-17 • Largest payer in this snapshot: Kerecis Limited ($43).

Total Amount

$139

General + Research + Ownership

Payments

7

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090109000456IPhysician AssistantALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
33533Coronary artery bypass using artery graft, 1 graft3030$0
33508Harvest of vein using an endoscope2929$0
33268Exclusion of appendage of left upper chamber of heart performed during other procedure on chest1313$0
33518Coronary artery bypass using vein or artery graft, 2 grafts1313$0
View full utilization report →

Insurance plans in this area (ZIP 36607)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981936796View full group profile
NameSpecialtyState
Thoracic SurgeryMD
Cardiac Surgery, Thoracic SurgeryAL
Vascular SurgeryAL
Vascular SurgeryOK
Nurse PractitionerAL
Thoracic SurgeryAL
Nurse PractitionerAL
Physician AssistantAL
Cardiac Surgery, Thoracic SurgeryAL
Physician AssistantAL

Reviews

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Frequently asked questions

What unique ID ties claims to SUSAN ANGERHOLZER OVERTON (P.A.)?
NPI 1396994521 is assigned to SUSAN ANGERHOLZER OVERTON (P.A.) under the national enumeration system.
Is SUSAN ANGERHOLZER OVERTON (P.A.) currently active in the NPI registry?
CMS-published data lists SUSAN ANGERHOLZER OVERTON (P.A.) as an active registrant.
What field does SUSAN ANGERHOLZER OVERTON (P.A.) work in?
You can think of SUSAN ANGERHOLZER OVERTON (P.A.) as practicing within Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for SUSAN ANGERHOLZER OVERTON (P.A.)?
The page summarizes Mobile, Alabama for SUSAN ANGERHOLZER OVERTON (P.A.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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