ANGELA M BOSCH (PA) – Physician Assistant, NPI 1265509509

ANGELA M BOSCH (PA) is a healthcare provider. based in Leawood, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1500775 (KS). The NPI Number for ANGELA M BOSCH (PA) is 1265509509

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA M BOSCH (PA)
NPI
1265509509
Phone
(913) 451-7546
Address
11550 GRANADA ST
Enumeration Date
30 November 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9134517546
Graduation Year
2002 (24 years ago)
PAC ID
2163497371
Group Practice PAC ID
5294721486
Professional Enrollment ID
I20120104000235
Address ID
KS662111453LE11550STXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

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Provider Addresses for ANGELA M BOSCH (PA)

  • Dermatology and Skin Care Centers, 11550, Granada Street, Leawood, Johnson County, Kansas, 66211, United States

    LEAWOOD, KS 662111453

    Phone: (913) 451-7546

    Fax: (913) 663-2411

    Type: Mailing

  • West 135th Street, Overland Park, Johnson County, Kansas, 66213, United States

    OVERLAND PARK, KS 662231201

    Phone: (913) 451-7546

    Fax: (913) 663-2411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 182 Open Payments records for all available years, with a total value of $3,934.

Total Amount is formed as General ($3,934) + Research ($0) + Ownership ($0) = $3,934.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($731).

Total Amount

$3,934

General + Research + Ownership

Payments

182

Total payment records

General Amount

$3,934

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2012-01-04

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
I20120104000235IPhysician AssistantKSTBD

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
17003Destruction of precancer skin growth, 2-14 growths741170$0
99213Established patient office or other outpatient visit, 20-29 minutes649541$0
17000Destruction of precancer skin growth, 1 growth300249$0
17110Destruction of skin growth, 1-14 growths196176$0
11102Biopsy of related skin growth, first growth11599$0
View full utilization report →

Insurance plans in this area (ZIP 66211)

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Provider's Procedures

ANGELA M BOSCH (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTKS17003Destruction of 2-14 skin growths44189

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: 5294721486View full group profile
NameSpecialtyState
Nurse PractitionerMO
Dermatology, Micrographic Dermatologic Surgery (Mds)MO
D E R M A T O L O G YMO
Plastic And Reconstructive SurgeryKS
D E R M A T O L O G YKS
D E R M A T O L O G YKS
D E R M A T O L O G YKS
D E R M A T O L O G YKS
Nurse PractitionerWI
Physician AssistantTX

Reviews

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Frequently asked questions

Is there an official ID for ANGELA M BOSCH (PA) in U.S. healthcare records?
The official identifier for ANGELA M BOSCH (PA) is NPI 1265509509.
Would ANGELA M BOSCH (PA) appear as active to a payer?
You can treat ANGELA M BOSCH (PA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ANGELA M BOSCH (PA)?
ANGELA M BOSCH (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Kansas is ANGELA M BOSCH (PA) registered?
Use Leawood, Kansas as the headline location for ANGELA M BOSCH (PA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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