ANGIE J WHITESELL (M.D.) – Family Medicine Physician, NPI 1689679391

ANGIE J WHITESELL (M.D.) is a healthcare provider. based in Nevada, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 2003014018 (MO). The NPI Number for ANGIE J WHITESELL (M.D.) is 1689679391

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
ANGIE J WHITESELL (M.D.)
NPI
1689679391
Phone
(417) 232-4560
Address
1307 N MAIN ST
Enumeration Date
17 June 2005
Last Update Date
9 January 2009

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
0143256537
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20050718000358
Address ID
MO654012980RO1605XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for ANGIE J WHITESELL (M.D.)

  • 1307, North Main Street, Cultural Corridor, Las Vegas, Clark County, Nevada, 89101, United States

    NEVADA, MO 647721129

    Phone: (417) 232-4560

    Fax: (417) 232-4561

    Type: Mailing

  • Main Street, Lockwood, Barton Town, New York, 14859, United States

    LOCKWOOD, MO 65682

    Phone: (417) 232-4560

    Fax: (417) 232-4611

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Exact Sciences Corporation ($36).

Total Amount

$146

General + Research + Ownership

Payments

8

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2005-07-18

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
I20050718000358IFamily PracticeMOTBD

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
J0897Injection, denosumab, 1 mg1,50016$0
99214Established patient office or other outpatient visit, 30-39 minutes494215$0
36415Insertion of needle into vein for collection of blood sample433219$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg16421$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes15523$0
View full utilization report →

Insurance plans in this area (ZIP 64772)

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Provider's Procedures

ANGIE J WHITESELL (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO85610Blood test, clotting time4412

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: 7416865845View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANGIE J WHITESELL (M.D.)?
ANGIE J WHITESELL (M.D.) — NPI 1689679391 — is the standard way to identify this listing.
Can I rely on ANGIE J WHITESELL (M.D.) being an active provider?
As of the registry snapshot, ANGIE J WHITESELL (M.D.) is marked active.
What taxonomy line describes ANGIE J WHITESELL (M.D.)?
For research purposes, treat ANGIE J WHITESELL (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does ANGIE J WHITESELL (M.D.) serve?
ANGIE J WHITESELL (M.D.)'s listing highlights Nevada, Missouri; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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