EMILY M ANNESSER (PA-C) – Physician Assistant, NPI 1114616935

EMILY M ANNESSER (PA-C) is a healthcare provider. based in Ottawa, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for EMILY M ANNESSER (PA-C) is 1114616935

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
EMILY M ANNESSER (PA-C)
NPI
1114616935
Phone
(567) 376-9508
Address
9910 ROAD I9
Enumeration Date
8 May 2023
Last Update Date
8 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4196091112
Graduation Year
2023 (3 years ago)
PAC ID
7618310939
Group Practice PAC ID
2769386192
Professional Enrollment ID
I20240202003554
Address ID
OH448705321SA3004XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

5,036 PHYSICIAN ASSISTANT in OH

Provider Addresses for EMILY M ANNESSER (PA-C)

  • 9910 ROAD I9

    OTTAWA, OH 458758614

    Phone: (567) 376-9508

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $568.

Total Amount is formed as General ($568) + Research ($0) + Ownership ($0) = $568.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($272).

Total Amount

$568

General + Research + Ownership

Payments

15

Total payment records

General Amount

$568

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-02-02

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
I20240202003554IPhysician AssistantOHTBD

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 45875)

Loading plans...

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: 2769386192View full group profile
NameSpecialtyState
Internal MedicineOH
-OH
-OH
Nurse PractitionerOH
Physical Therapist In Private PracticeOH
D E R M A T O L O G YOH
-OH
P O D I A T R YOH
-OH
Sports MedicineOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm EMILY M ANNESSER (PA-C)'s NPI?
Yes. EMILY M ANNESSER (PA-C) is listed with NPI 1114616935 in the public NPI dataset.
Can I rely on EMILY M ANNESSER (PA-C) being an active provider?
As of the registry snapshot, EMILY M ANNESSER (PA-C) is marked active.
What healthcare role does EMILY M ANNESSER (PA-C) hold?
Scheduling teams often label EMILY M ANNESSER (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does EMILY M ANNESSER (PA-C) list a practice location?
Patients near Ottawa, Ohio may find EMILY M ANNESSER (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

MRS. MEGAN MARIE PECK

Physician Assistant
11241 ROAD F11
NPI: 1639340458

HANNAH LUCILLE MEYERHOFFER

Physician Assistant
14151 ROAD K14
NPI: 1124614045
900 Havemann Rd Ste D
NPI: 1457935926
149 OAKBROOK DR
NPI: 1023879335

MADISON MARIE LANGHALS

Physician Assistant
17288 STATE ROUTE 694
NPI: 1508656638