MS. ANNA MARIE ANTONOWICH (MSN, NP-BC) – Family Nurse Practitioner, NPI 1215063268
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,949 NURSE PRACTITIONER in NV
Provider Addresses for MS. ANNA MARIE ANTONOWICH (MSN, NP-BC)
10121 PINE AVENUE
TAHOE FOREST CANCER CENTER
TRUCKEE, CA 96161
Phone: (530) 582-6450
Fax: (530) 582-6430
Type: Mailing
236 W 6TH ST
400
RENO, NV 895034517
Phone: (775) 329-0873
Fax: (775) 329-1026
Type: Location
700 River Dr
Fort Bragg, CA 954375403
Phone: (707) 961-4922
Fax: (707) 961-4921
Type: Location
260 HOSPITAL DR STE 207
UKIAH, CA 954824568
Phone: (707) 463-7627
Fax: (707) 463-7420
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 90 Open Payments records for all available years, with a total value of $2,093.
Total Amount is formed as General ($2,093) + Research ($0) + Ownership ($0) = $2,093.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($286).
Total Amount
$2,093
General + Research + Ownership
Payments
90
Total payment records
General Amount
$2,093
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $286 |
| PFIZER INC. | $223 |
| AstraZeneca Pharmaceuticals LP | $161 |
| GlaxoSmithKline, LLC. | $150 |
| E.R. Squibb & Sons, L.L.C. | $127 |
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: 2014-10-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141021002269 | I | Nurse Practitioner | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 332 | 196 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 101 | 80 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 27 | 27 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 20 | 18 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 96161)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NY | |
| Internal Medicine, Nuclear Medicine | CA | |
| O P T O M E T R Y | CA | |
| Pain Management | CA | |
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| G A S T R O E N T E R O L O G Y | CA | |
| - | CA | |
| Nurse Practitioner | MA | |
| O P H T H A L M O L O G Y | CA |
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