MS. ANGELA M LIVELY (PA-C) – Physician Assistant, NPI 1043426737

MS. ANGELA M LIVELY (PA-C) is a healthcare provider. based in Greencastle, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10000942A (IN). The NPI Number for MS. ANGELA M LIVELY (PA-C) is 1043426737

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MS. ANGELA M LIVELY (PA-C)
NPI
1043426737
Phone
(317) 745-7310
Address
1033 Indianapolis Rd Ste 130
Enumeration Date
16 May 2007
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
3072612233
Group Practice PAC ID
4880505528
Professional Enrollment ID
I20070628000512
Address ID
IN461221998DA112XXLNXX300
Telehealth
Yes

Contacts

Secure Messaging
alively378290@direct-PRD.stelizabeth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:19State licenses:1Other names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for MS. ANGELA M LIVELY (PA-C)

  • 1033 Indianapolis Rd Ste 130

    Greencastle, IN 461352407

    Phone: (317) 745-7310

    Fax: (317) 745-7320

    Type: Location

  • 100 HOSPITAL LN STE 120

    DANVILLE, IN 461221993

    Phone: (317) 745-7310

    Fax: (317) 745-7320

    Type: Location

  • 1801, Senate Boulevard, Meridian Highlands, Indianapolis, Marion, Indiana, 46202, United States

    400

    INDIANAPOLIS, IN 462021228

    Phone: (317) 962-6300

    Fax: (317) 962-2346

    Type: Mailing

  • 250 N SHADELAND AVE STE 200

    INDIANAPOLIS, IN 462194959

    Phone: (317) 962-4942

    Type: Mailing

  • 1801 SENATE BLVD STE 700

    INDIANAPOLIS, IN 462021177

    Phone: (317) 962-6300

    Fax: (317) 962-2346

    Type: Location

  • 1100 SOUTHFIELD DR STE 1370

    PLAINFIELD, IN 461684300

    Phone: (317) 837-5566

    Fax: (317) 837-5567

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 171 Open Payments records for all available years, with a total value of $3,640.

Total Amount is formed as General ($3,640) + Research ($0) + Ownership ($0) = $3,640.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($1,031).

Total Amount

$3,640

General + Research + Ownership

Payments

171

Total payment records

General Amount

$3,640

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2007-06-28

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
I20070628000512IPhysician AssistantINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes123107$0
99213Established patient office or other outpatient visit, 20-29 minutes11398$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4319$0
99204New patient office or other outpatient visit, 45-59 minutes3737$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 46135)

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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: 4880505528View full group profile

Reviews

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Frequently asked questions

Is MS. ANGELA M LIVELY (PA-C) listed with a National Provider Identifier?
Yes — MS. ANGELA M LIVELY (PA-C) has NPI 1043426737 on file in the registry.
Is MS. ANGELA M LIVELY (PA-C) still an active registrant?
MS. ANGELA M LIVELY (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with MS. ANGELA M LIVELY (PA-C)?
MS. ANGELA M LIVELY (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Indiana is MS. ANGELA M LIVELY (PA-C) registered?
Use Greencastle, Indiana as the headline location for MS. ANGELA M LIVELY (PA-C) here.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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