ANGELA L BEEZLEY (PAC) – Physician Assistant, NPI 1669424719

ANGELA L BEEZLEY (PAC) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 5601004502 (MI). The NPI Number for ANGELA L BEEZLEY (PAC) is 1669424719

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA L BEEZLEY (PAC)
NPI
1669424719
Phone
(616) 954-9800
Address
5800 FOREMOST DR SE STE 300
Enumeration Date
17 May 2006
Last Update Date
11 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6169549800
Graduation Year
2005 (21 years ago)
PAC ID
4385656263
Group Practice PAC ID
4082526793
Professional Enrollment ID
I20060614000034
Address ID
MI495032563GR145XXNEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for ANGELA L BEEZLEY (PAC)

  • 5800 FOREMOST DR SE STE 300

    GRAND RAPIDS, MI 495467062

    Phone: (616) 954-9800

    Fax: (616) 389-1766

    Type: Mailing

  • 6425, South Harvey Street, Norton Shores, Fruitport Charter Township, Muskegon County, Michigan, 49444, United States

    NORTON SHORES, MI 494449739

    Phone: (231) 737-3469

    Fax: (231) 737-4548

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 190 Open Payments records for all available years, with a total value of $3,955.

Total Amount is formed as General ($3,955) + Research ($0) + Ownership ($0) = $3,955.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($327).

Total Amount

$3,955

General + Research + Ownership

Payments

190

Total payment records

General Amount

$3,955

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2006-06-14

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
I20060614000034IPhysician AssistantMITBD

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 minutes7851$0
99213Established patient office or other outpatient visit, 20-29 minutes4138$0
96372Injection of drug or substance under skin or into muscle1411$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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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: 4082526793View full group profile
NameSpecialtyState
Nurse PractitionerMI
Medical OncologyMI
Nurse PractitionerMI
Hematology/Oncology, Internal MedicineMI
Physician AssistantMI
-MI
-MI
-MI
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I verify ANGELA L BEEZLEY (PAC) with an NPI only?
You can start verification with NPI 1669424719 for ANGELA L BEEZLEY (PAC), then check state licensing separately.
Can I rely on ANGELA L BEEZLEY (PAC) being an active provider?
As of the registry snapshot, ANGELA L BEEZLEY (PAC) is marked active.
What taxonomy line describes ANGELA L BEEZLEY (PAC)?
For research purposes, treat ANGELA L BEEZLEY (PAC) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is ANGELA L BEEZLEY (PAC) based?
ANGELA L BEEZLEY (PAC) is tied to Grand Rapids, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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