ANGELA MARIE GRANT (NP-C) – Family Nurse Practitioner, NPI 1649822479
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
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Provider Addresses for ANGELA MARIE GRANT (NP-C)
North Duxbury Pier Lane, Garden City, Ada County, Idaho, 83614, United States
GARDEN CITY, ID 837145021
Phone: (208) 921-1868
Type: Mailing
East Gala Street, Meridian, Ada County, Idaho, 83642, United States
MERIDIAN, ID 836427692
Phone: (208) 888-5848
Fax: (208) 888-0884
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 93 Open Payments records for all available years, with a total value of $1,765.
Total Amount is formed as General ($1,765) + Research ($0) + Ownership ($0) = $1,765.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($228).
Total Amount
$1,765
General + Research + Ownership
Payments
93
Total payment records
General Amount
$1,765
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-01-13
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 |
|---|---|---|---|---|
| I20200113000026 | I | Nurse Practitioner | ID | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 23 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 20 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 15 | 15 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 12 | 11 | $0 |
Insurance plans in this area (ZIP 83714)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ID | |
| - | ID | |
| - | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| - | ID | |
| - | ID | |
| Physician Assistant | ID | |
| Nurse Practitioner | ID |
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