ANGELA ANDEWAY – Mental Health Counselor, NPI 1215352059

ANGELA ANDEWAY is a healthcare provider. based in Ottumwa, Iowa. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 072076 (IA). The NPI Number for ANGELA ANDEWAY is 1215352059

Main info

Female
13 Years Of Experience
Name
ANGELA ANDEWAY
NPI
1215352059
Phone
(641) 682-8772
Address
110 E MAIN ST
Enumeration Date
4 March 2014
Last Update Date
4 March 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888701775
Graduation Year
2013 (13 years ago)
PAC ID
4789034463
Group Practice PAC ID
0749418630
Professional Enrollment ID
I20231220003606
Address ID
IA525562483FA500XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

630 MENTAL HEALTH COUNSELOR in IA

Provider Addresses for ANGELA ANDEWAY

  • 110 E MAIN ST

    OTTUMWA, IA 525012910

    Phone: (641) 682-8772

    Fax: (641) 682-1924

    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: 2023-12-20

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
I20231220003606IMental Health CounselorIATBD

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 52501)

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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: 0749418630View full group profile
NameSpecialtyState
-IL
Marriage And Family TherapistWI
Clinical Social WorkerIL
Nurse PractitionerWI
Mental Health CounselorIA
Mental Health CounselorIL
-FL
Nurse PractitionerIL
Clinical Social WorkerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do payers reference ANGELA ANDEWAY?
For ANGELA ANDEWAY, use NPI 1215352059 as the unique 10-digit identifier.
Is ANGELA ANDEWAY still an active registrant?
ANGELA ANDEWAY carries an active NPI according to the public dataset.
What clinical focus is listed for ANGELA ANDEWAY?
At a glance, ANGELA ANDEWAY is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is ANGELA ANDEWAY associated with Ottumwa?
Public fields place ANGELA ANDEWAY around Ottumwa, Iowa. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for ANGELA ANDEWAY is noted as March 4, 2014 where the registry provides it.

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