ANGELA MARIE MODIN (PA-C) – Physician Assistant, NPI 1356642649
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANGELA MARIE MODIN (PA-C)
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 805389071
Phone: (970) 624-2409
Fax: (970) 490-4155
Type: Mailing
6801 W. 20TH STREET
SUITE 101, ATTN:SUE PINCKNEY,CREDENTIALING
GREELEY, CO 80634
Phone: (970) 378-8000
Fax: (970) 378-8088
Type: Mailing
6801 W 20TH ST UNIT 101
GREELEY, CO 806349640
Phone: (970) 378-8000
Fax: (970) 378-8088
Type: Location
473 Castle Pines Ave Ste 1
Johnstown, CO 805347859
Phone: (970) 587-7881
Type: Location
2520 W. 16th Street
Greeley, CO 80634
Phone: (970) 356-2520
Fax: (970) 356-6928
Type: Location
6801 W 20th St Unit 101
Greeley, CO 806349640
Phone: (970) 378-8000
Fax: (970) 378-8088
Type: Location
5881 W 16TH ST STE B
GREELEY, CO 806342910
Phone: (970) 652-2235
Fax: (970) 652-2827
Type: Mailing
473 CASTLE PINES AVE STE 1
JOHNSTOWN, CO 805347859
Phone: (970) 587-7881
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $196.
Total Amount is formed as General ($196) + Research ($0) + Ownership ($0) = $196.
Last reported payment date: 2023-05-18 • Largest payer in this snapshot: Corium, LLC ($39).
Total Amount
$196
General + Research + Ownership
Payments
11
Total payment records
General Amount
$196
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $39 |
| Lilly USA, LLC | $30 |
| Organon LLC | $30 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $28 |
| PFIZER INC. | $21 |
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: 2013-06-12
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 |
|---|---|---|---|---|
| I20130612000035 | I | Physician Assistant | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80538)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Emergency Medicine, General Practice | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO |
Reviews
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