ANGIE M EUBANKS (PAC) – Physician Assistant, NPI 1306800396

ANGIE M EUBANKS (PAC) is a healthcare provider. based in Pinckneyville, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 085-000595 (IL). The NPI Number for ANGIE M EUBANKS (PAC) is 1306800396

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
ANGIE M EUBANKS (PAC)
NPI
1306800396
Phone
(618) 357-2131
Address
5383 STATE ROUTE 154
Enumeration Date
14 April 2006
Last Update Date
10 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
61835721875902
Graduation Year
1993 (33 years ago)
PAC ID
9830413798
Group Practice PAC ID
8123921632
Professional Enrollment ID
I20150123001429
Address ID
IL622743342PI5383X154X400

Contacts

Secure Messaging
aeubanks@direct.pvillehosp.org
Secure Messaging
angie-eubanks@pvillefmc.e-mds.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for ANGIE M EUBANKS (PAC)

  • IL 154, Pinckneyville, Perry County, Illinois, 62888, United States

    PINCKNEYVILLE, IL 622743342

    Phone: (618) 357-2131

    Fax: (618) 357-8844

    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 18 Open Payments records for all available years, with a total value of $305.

Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: PFIZER INC. ($108).

Total Amount

$305

General + Research + Ownership

Payments

18

Total payment records

General Amount

$305

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

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: 2015-01-23

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
I20150123001429IPhysician AssistantILTBD

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 62274)

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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: 8123921632View full group profile
NameSpecialtyState
-IL
-IL
Emergency Medicine, General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL
Internal MedicineIL
Nurse PractitionerIL
Physician AssistantIL
Clinical Social WorkerIL
-IL

Reviews

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Frequently asked questions

How do payers reference ANGIE M EUBANKS (PAC)?
For ANGIE M EUBANKS (PAC), use NPI 1306800396 as the unique 10-digit identifier.
Active or inactive — what applies to ANGIE M EUBANKS (PAC)?
You should see ANGIE M EUBANKS (PAC) as active in CMS-hosted NPPES data.
What clinical focus is listed for ANGIE M EUBANKS (PAC)?
At a glance, ANGIE M EUBANKS (PAC) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is ANGIE M EUBANKS (PAC) located near Pinckneyville?
ANGIE M EUBANKS (PAC) currently maps to Pinckneyville, Illinois in this extract.
When was this NPI issued?
Enumeration for ANGIE M EUBANKS (PAC) is noted as April 14, 2006 where the registry provides it.

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