ANGENIE PREVAL (PA-C) – Physician Assistant, NPI 1376891564
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANGENIE PREVAL (PA-C)
10 COLSON WAY
RANDOLPH, MA 023682752
Phone: (857) 991-6077
Type: Mailing
2510 30TH AVE
LONG ISLAND CITY, NY 111022448
Phone: (718) 932-7151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $20,353.
Total Amount is formed as General ($40) + Research ($20,313) + Ownership ($0) = $20,353.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Organ Recovery Systems, Inc. ($20,313).
Total Amount
$20,353
General + Research + Ownership
Payments
5
Total payment records
General Amount
$40
General payments
Research Amount
$20,313
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organ Recovery Systems, Inc. | $20,313 |
| Takeda Pharmaceuticals U.S.A., Inc. | $40 |
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: 2013-10-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131029001050 | I | Physician Assistant | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02368)
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