ANGELA EMERSON (PA-C) – Physician Assistant, NPI 1669100921

ANGELA EMERSON (PA-C) is a healthcare provider. based in Fairbanks, Alaska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 198515 (AK). The NPI Number for ANGELA EMERSON (PA-C) is 1669100921

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA EMERSON (PA-C)
NPI
1669100921
Phone
Not provided
Address
1640 COWLES ST
Enumeration Date
12 August 2022
Last Update Date
12 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
9074524268
Graduation Year
2022 (4 years ago)
PAC ID
3779967492
Group Practice PAC ID
3678627007
Professional Enrollment ID
I20220830002115
Address ID
AK997015925FA1640XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

551 PHYSICIAN ASSISTANT in AK

Provider Addresses for ANGELA EMERSON (PA-C)

  • 1640 COWLES ST

    FAIRBANKS, AK 997015908

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $874.

Total Amount is formed as General ($874) + Research ($0) + Ownership ($0) = $874.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Boston Scientific Corporation ($201).

Total Amount

$874

General + Research + Ownership

Payments

17

Total payment records

General Amount

$874

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

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: 2022-08-30

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
I20220830002115IPhysician AssistantAKTBD

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
J1453Injection, fosaprepitant, 1 mg15,00043$0
J9263Injection, oxaliplatin, 0.5 mg11,60011$0
J9271Injection, pembrolizumab, 1 mg7,00017$0
J1100Injection, dexamethasone sodium phosphate, 1 mg1,79458$0
J1626Injection, granisetron hydrochloride, 100 mcg1,21032$0
View full utilization report →

Insurance plans in this area (ZIP 99701)

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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: 3678627007View full group profile
NameSpecialtyState
Medical Oncology, Hematology, Internal MedicineAK
Physician AssistantAK
Physician AssistantWA
Medical Oncology, Hematology, Internal MedicineAK

Reviews

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Frequently asked questions

Can I use this page to confirm ANGELA EMERSON (PA-C)'s NPI?
Yes. ANGELA EMERSON (PA-C) is listed with NPI 1669100921 in the public NPI dataset.
Is ANGELA EMERSON (PA-C) listed as active for patients and plans?
The listing shows ANGELA EMERSON (PA-C) as active in the NPI system.
What is ANGELA EMERSON (PA-C)'s specialty?
The listing groups ANGELA EMERSON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is ANGELA EMERSON (PA-C) based?
ANGELA EMERSON (PA-C) is tied to Fairbanks, Alaska in the data we show; additional addresses may exist on the full record.
Is the information about ANGELA EMERSON (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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