ANGELA ENGBERG – Registered Nurse, NPI 1629550850

ANGELA ENGBERG is a healthcare provider. based in Hopkins, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 2629 (MN). The NPI Number for ANGELA ENGBERG is 1629550850

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA ENGBERG
NPI
1629550850
Phone
Not provided
Address
425 MADISON AVE S
Enumeration Date
4 September 2018
Last Update Date
5 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7638981000
Graduation Year
2021 (5 years ago)
PAC ID
8426447202
Group Practice PAC ID
9335033034
Professional Enrollment ID
I20211117000324
Address ID
MN553694648MA9875XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for ANGELA ENGBERG

  • 425 MADISON AVE S

    HOPKINS, MN 553438448

    Phone:

    Type: Mailing

  • 14700 28TH AVE N STE 20

    PLYMOUTH, MN 554474876

    Phone: (763) 559-3779

    Fax: (763) 450-3986

    Type: Mailing

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: 2021-11-17

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
I20211117000324ICertified Registered Nurse Anesthetist (Crna)MNTBD

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 55343)

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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: 9335033034View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
-MN

Reviews

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Frequently asked questions

Does ANGELA ENGBERG have a public NPI I can cite?
Public records show ANGELA ENGBERG under NPI 1629550850.
Does the public listing show ANGELA ENGBERG as active?
ANGELA ENGBERG's NPI record reflects an active status in NPPES.
What does the directory say ANGELA ENGBERG does?
Insurance directories may phrase it differently, but here ANGELA ENGBERG maps to Registered Nurse. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANGELA ENGBERG?
ANGELA ENGBERG is associated with Hopkins, Minnesota in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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