NPIMap

Individual provider Active NPI

Olivia Faith Angerman, PAC

  • Physician Assistant
  • Easton, PA
National Provider Identifier
1194503334
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA006639 Issued in PA
Practice address
2200 St Lukes Blvd Ste 200
Easton, PA 18045-5665
Phone
(484) 503-0628
NPI assigned
Sep 19, 2023
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA006639 PA Primary

Addresses

Primary practice location

2200 St Lukes Blvd Ste 200
Easton, PA 18045-5665

Mailing address

2200 St Lukes Blvd Ste 200
Easton, PA 18045-5665
Phone (484) 503-6492

Other practice location 1

2003 Sullivan Trl
Easton, PA 18040-8339
Phone (484) 503-0628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116002003 PA Practitioner - Physician Assistant 2466809165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

2003 Sullivan TRL
Easton, PA 18040-8339

6689 Sullivan TRL
Wind Gap, PA 18091-9790
Phone (610) 954-4960

6695 Sullivan TRL
Suite 201
Wind Gap, PA 18091-9790
Phone (610) 691-3131

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA006639PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Oct 30, 2023 Accepting new patients
St. Luke's Physician Group, Inc CurrentSince Oct 30, 2023 Accepting new patients
St Luke's Physician Group Inc CurrentSince Oct 30, 2023 Accepting new patients

Locations

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

2200 St Lukes Blvd
Ste 200
Easton, PA 18045
Phone (484) 503-0628

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: olivia.daniels@slpg.direct-sluhn.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1194503334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ST LUKES BLVD STE 200",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455665",
            "telephone_number": "484-503-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ST LUKES BLVD STE 200",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455665",
            "telephone_number": "484-503-0628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Sullivan Trl",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180408339",
            "country_code": "US",
            "telephone_number": "484-503-0628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGERMAN",
        "first_name": "OLIVIA",
        "middle_name": "FAITH",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.