ANGIE JOUANEH RIDDLEBERGER (P.A,.) – Medical Physician Assistant, NPI 1831174366

ANGIE JOUANEH RIDDLEBERGER (P.A,.) is a healthcare provider. based in Boulder, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A,.. They hold a License No. 1803 (CO). The NPI Number for ANGIE JOUANEH RIDDLEBERGER (P.A,.) is 1831174366

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
ANGIE JOUANEH RIDDLEBERGER (P.A,.)
NPI
1831174366
Phone
(303) 440-3000
Address
2750 BROADWAY ST
Enumeration Date
7 December 2005
Last Update Date
8 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034403000
Graduation Year
2003 (23 years ago)
PAC ID
6507770195
Group Practice PAC ID
4183536204
Professional Enrollment ID
I20070522000640
Address ID
CO803043573BO2750XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

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Provider Addresses for ANGIE JOUANEH RIDDLEBERGER (P.A,.)

  • Broadway, The Hill, Boulder, Boulder County, Colorado, 80802, United States

    BOULDER, CO 803043573

    Phone: (303) 440-3000

    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 19 Open Payments records for all available years, with a total value of $639.

Total Amount is formed as General ($639) + Research ($0) + Ownership ($0) = $639.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: PFIZER INC. ($189).

Total Amount

$639

General + Research + Ownership

Payments

19

Total payment records

General Amount

$639

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

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: 2007-05-22

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
I20070522000640IPhysician AssistantCOTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,746223$0
99213Established patient office or other outpatient visit, 20-29 minutes391283$0
17000Destruction of precancer skin growth, 1 growth337240$0
17110Destruction of skin growth, 1-14 growths9485$0
11102Biopsy of related skin growth, first growth6463$0
View full utilization report →

Insurance plans in this area (ZIP 80304)

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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: 4183536204View full group profile
NameSpecialtyState
General SurgeryCO
Family PracticeWA
-CO
Family PracticeCO
Pediatric Medicine, GastroenterologyCO
Internal MedicineCO
G A S T R O E N T E R O L O G YCO
-AZ
Family PracticeCO
Physician AssistantCO

Reviews

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Frequently asked questions

What identifier follows ANGIE JOUANEH RIDDLEBERGER (P.A,.) across health systems?
The NPI 1831174366 uniquely identifies ANGIE JOUANEH RIDDLEBERGER (P.A,.) in U.S. healthcare data.
Should I treat ANGIE JOUANEH RIDDLEBERGER (P.A,.) as an active provider?
Patients and plans typically see ANGIE JOUANEH RIDDLEBERGER (P.A,.) as active in the national extract.
How should patients interpret ANGIE JOUANEH RIDDLEBERGER (P.A,.)'s specialty?
The extract shows Medical Physician Assistant for ANGIE JOUANEH RIDDLEBERGER (P.A,.). Clinical services aligned with this taxonomy classification.
What city is tied to ANGIE JOUANEH RIDDLEBERGER (P.A,.)?
The directory associates ANGIE JOUANEH RIDDLEBERGER (P.A,.) with Boulder, Colorado. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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