ANGELA HEATHER VEDIZ (PAC) – Physician Assistant, NPI 1629066659
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
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Provider Addresses for ANGELA HEATHER VEDIZ (PAC)
2829, South Jackson Avenue, Joplin, Jasper County, Missouri, 64804, United States
JOPLIN, MO 648042525
Phone: (417) 624-0440
Fax: (417) 624-9652
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 158 Open Payments records for all available years, with a total value of $2,973.
Total Amount is formed as General ($2,973) + Research ($0) + Ownership ($0) = $2,973.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($613).
Total Amount
$2,973
General + Research + Ownership
Payments
158
Total payment records
General Amount
$2,973
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $613 |
| Janssen Biotech, Inc. | $513 |
| E.R. Squibb & Sons, L.L.C. | $400 |
| GENZYME CORPORATION | $215 |
| Amgen Inc. | $159 |
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: 2024-11-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081208000707 | I | Physician Assistant | MO | TBD |
| I20241125001382 | I | Physician Assistant | KS | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,229 | 393 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,618 | 1,098 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 748 | 558 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 644 | 489 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 172 | 158 | $0 |
Insurance plans in this area (ZIP 64804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MO | |
| D E R M A T O L O G Y | MO | |
| Plastic And Reconstructive Surgery | KS | |
| D E R M A T O L O G Y | KS | |
| D E R M A T O L O G Y | KS | |
| D E R M A T O L O G Y | KS | |
| D E R M A T O L O G Y | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | WI |
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