ANGELA A DEBORD HENRIKSEN (MD) – Internal Medicine Physician, NPI 1750321576
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,511 INTERNAL MEDICINE in IN
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Provider Addresses for ANGELA A DEBORD HENRIKSEN (MD)
North Shadeland Avenue, Castleton, Vertland, Indianapolis, Indiana, 46250, United States
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
1115, Ronald Reagan Parkway, Avon, Hendricks County, Indiana, 46123, United States
SUITE 318
AVON, IN 461236914
Phone: (317) 217-2600
Fax: (317) 217-2606
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 107 Open Payments records for all available years, with a total value of $1,949.
Total Amount is formed as General ($1,949) + Research ($0) + Ownership ($0) = $1,949.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($664).
Total Amount
$1,949
General + Research + Ownership
Payments
107
Total payment records
General Amount
$1,949
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $664 |
| Novo Nordisk Inc | $419 |
| Alexion Pharmaceuticals, Inc. | $65 |
| PFIZER INC. | $60 |
| Azurity Pharmaceuticals, Inc. | $54 |
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: 2004-12-18
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 |
|---|---|---|---|---|
| I20041218000007 | I | Internal Medicine | IN | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 60 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 29 | $0 |
Insurance plans in this area (ZIP 46219)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | IN | 83036 | Hemoglobin A1C level | 139 | 90 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| - | IN |
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