ANGELA RENEE ROGERS (PA-C) – Physician Assistant, NPI 1881842482

ANGELA RENEE ROGERS (PA-C) is a healthcare provider. based in Burnsville, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1188 (MN). The NPI Number for ANGELA RENEE ROGERS (PA-C) is 1881842482

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA RENEE ROGERS (PA-C)
NPI
1881842482
Phone
(763) 231-8700
Address
625 E NICOLLET BLVD
Enumeration Date
8 September 2008
Last Update Date
25 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632318700
Graduation Year
2008 (18 years ago)
PAC ID
1456419050
Group Practice PAC ID
8628353380
Professional Enrollment ID
I20081027000480
Address ID
MN551254432WO779XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

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Provider Addresses for ANGELA RENEE ROGERS (PA-C)

  • 625, East Nicollet Boulevard, Burnsville, Dakota County, Minnesota, 55337, United States

    STE 203

    BURNSVILLE, MN 553376735

    Phone: (763) 231-8700

    Fax: (952) 435-6565

    Type: Mailing

  • 3265, Northeast Ralph Powell Road, Chapel Ridge Business Park, Lee's Summit, Jackson County, Missouri, 64064, United States

    LEES SUMMIT, MO 640642301

    Phone: (816) 524-4747

    Type: Location

  • 820 SPRINGER DR

    LOMBARD, IL 601486413

    Phone: (815) 744-8554

    Type: Mailing

  • 625 E NICOLLET BLVD STE 203

    BURNSVILLE, MN 553376735

    Phone: (218) 208-2070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $371.

Total Amount is formed as General ($371) + Research ($0) + Ownership ($0) = $371.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($61).

Total Amount

$371

General + Research + Ownership

Payments

21

Total payment records

General Amount

$371

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2008-10-27

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
I20081027000480IPhysician AssistantMNTBD

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 growths35371$0
99213Established patient office or other outpatient visit, 20-29 minutes267179$0
17000Destruction of precancer skin growth, 1 growth138102$0
17110Destruction of skin growth, 1-14 growths10385$0
11102Biopsy of related skin growth, first growth8475$0
View full utilization report →

Insurance plans in this area (ZIP 55337)

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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: 8628353380View full group profile
NameSpecialtyState
-MI
D E R M A T O L O G YTX
Dermatology, Dermatology, PathologyVA
Physician AssistantMN
Nurse PractitionerMI
D E R M A T O L O G YAZ
Physician AssistantMN
Physician AssistantIN
-IN
Physician AssistantIL

Reviews

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Frequently asked questions

Is there an official ID for ANGELA RENEE ROGERS (PA-C) in U.S. healthcare records?
The official identifier for ANGELA RENEE ROGERS (PA-C) is NPI 1881842482.
Is ANGELA RENEE ROGERS (PA-C) still an active registrant?
ANGELA RENEE ROGERS (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with ANGELA RENEE ROGERS (PA-C)?
ANGELA RENEE ROGERS (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with ANGELA RENEE ROGERS (PA-C)?
Directory geography for ANGELA RENEE ROGERS (PA-C) centers on Burnsville, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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