ANGELA GREENE (PA-C) – Medical Physician Assistant, NPI 1972648962

ANGELA GREENE (PA-C) is a healthcare provider. based in Woodbury, Minnesota. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 10039 (MN). The NPI Number for ANGELA GREENE (PA-C) is 1972648962

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA GREENE (PA-C)
NPI
1972648962
Phone
(651) 714-9646
Address
1811 WEIR DR STE 270
Enumeration Date
20 February 2007
Last Update Date
18 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517149646651714
Graduation Year
2005 (21 years ago)
PAC ID
9830225036
Group Practice PAC ID
6406752492
Professional Enrollment ID
I20100326000601
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

Provider Addresses for ANGELA GREENE (PA-C)

  • 1811 WEIR DR STE 270

    WOODBURY, MN 551256741

    Phone: (651) 714-9646

    Fax: (651) 714-9647

    Type: Location

  • 1900 SILVER LAKE RD NW

    NEW BRIGHTON, MN 551121786

    Phone: (651) 628-9566

    Fax: (651) 628-0411

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55125)

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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: 6406752492View full group profile
NameSpecialtyState
-GA
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
-MN

Reviews

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Frequently asked questions

Does ANGELA GREENE (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ANGELA GREENE (PA-C) uses 1972648962.
Is ANGELA GREENE (PA-C) listed as active for patients and plans?
The listing shows ANGELA GREENE (PA-C) as active in the NPI system.
What is ANGELA GREENE (PA-C)'s specialty?
The listing groups ANGELA GREENE (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for ANGELA GREENE (PA-C)?
ANGELA GREENE (PA-C)'s geographic hint is Woodbury, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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