ANGELA BOWERSOCK (PA-C) – Surgical Physician Assistant, NPI 1700875960

ANGELA BOWERSOCK (PA-C) is a healthcare provider. based in St petersburg, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9108656 (FL). The NPI Number for ANGELA BOWERSOCK (PA-C) is 1700875960

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA BOWERSOCK (PA-C)
NPI
1700875960
Phone
(727) 893-6234
Address
601 7TH ST S STE 205
Enumeration Date
19 October 2005
Last Update Date
5 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7278231234
Graduation Year
2013 (13 years ago)
PAC ID
1759330939
Group Practice PAC ID
2668882507
Professional Enrollment ID
I20150609002939
Address ID
FL337014814ST701XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ANGELA BOWERSOCK (PA-C)

  • 601 7TH ST S STE 205

    ST PETERSBURG, FL 337014708

    Phone: (727) 893-6234

    Fax: (727) 893-6111

    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 6 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: ABIOMED ($120).

Total Amount

$194

General + Research + Ownership

Payments

6

Total payment records

General Amount

$194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2015-06-09

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
I20150609002939IPhysician AssistantFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33701)

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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: 2668882507View full group profile
NameSpecialtyState
General Surgery, Vascular SurgeryFL
Radiation OncologyMI
Nurse PractitionerFL
Family PracticeFL
Physician AssistantFL
Internal MedicineFL
General Surgery, Critical Care (Intensivists)FL
Cardiovascular Disease (Cardiology), Internal MedicineFL
Family PracticeFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do payers reference ANGELA BOWERSOCK (PA-C)?
For ANGELA BOWERSOCK (PA-C), use NPI 1700875960 as the unique 10-digit identifier.
Is ANGELA BOWERSOCK (PA-C) still an active registrant?
ANGELA BOWERSOCK (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with ANGELA BOWERSOCK (PA-C)?
ANGELA BOWERSOCK (PA-C)'s record emphasizes Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is ANGELA BOWERSOCK (PA-C) associated with St Petersburg?
Public fields place ANGELA BOWERSOCK (PA-C) around St Petersburg, Florida. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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