ANGELA GINGERICH – Clinical Social Worker, NPI 1083074462

ANGELA GINGERICH is a healthcare provider. based in Elkhart, Indiana. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 34007476A (IN). The NPI Number for ANGELA GINGERICH is 1083074462

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA GINGERICH
NPI
1083074462
Phone
(574) 293-0005
Address
1004 PARKWAY AVE
Enumeration Date
29 February 2016
Last Update Date
29 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697294422
Graduation Year
2011 (15 years ago)
PAC ID
5890184337
Group Practice PAC ID
2769441286
Professional Enrollment ID
I20211122003029
Address ID
MI490524312FU1474XWAYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,711 CLINICAL SOCIAL WORKER in IN

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Provider Addresses for ANGELA GINGERICH

  • Parkway Avenue, Elkhart County, Indiana, United States

    SUITE D

    ELKHART, IN 465169348

    Phone: (574) 293-0005

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-11-22

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
I20211122003029IClinical Social WorkerTXTBD

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 46516)

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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: 2769441286View full group profile
NameSpecialtyState
Family PracticeMI
-MI
Nurse PractitionerMI
Registered Dietitian Or Nutrition ProfessionalMI
Physician AssistantMI
Nurse PractitionerMI
P S Y C H I A T R YMI
Clinical Social WorkerMI
Internal MedicineMI

Reviews

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Frequently asked questions

What NPI should I save for ANGELA GINGERICH?
Save NPI 1083074462 if you need a stable reference for ANGELA GINGERICH.
Is ANGELA GINGERICH currently active in the NPI registry?
CMS-published data lists ANGELA GINGERICH as an active registrant.
Does ANGELA GINGERICH list a primary specialty?
If you are matching referrals, note Clinical Social Worker for ANGELA GINGERICH. Clinical services aligned with this taxonomy classification.
Does ANGELA GINGERICH practice in Indiana?
You will see Elkhart, Indiana on file for ANGELA GINGERICH alongside any extra practice locations.
How can I contact ANGELA GINGERICH?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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