NPIMap

Individual provider Active NPI

Angela M Powell, MD

  • Otolaryngology Physician
  • Plattsburgh, NY
National Provider Identifier
1215005699
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
297640-1 Issued in NY
Practice address
79 Hammond LN Ste 12
Plattsburgh, NY 12901-2008
Phone
(518) 566-7930
Fax
(518) 566-7932
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD428037 PA
Otolaryngology Physician 207Y00000X 297640-1 NY Primary

Addresses

Primary practice location

79 Hammond LN Ste 12
Plattsburgh, NY 12901-2008

Mailing address

79 Hammond LN Ste 12
Plattsburgh, NY 12901-2008
Phone (518) 566-7930

Other practice location 1

34520 Bob Wilson Dr Ste 200
San Diego, CA 92134-2200
Phone (619) 532-9636

Other practice location 2

924 Colonial Ave Ste E
York, PA 17403-3450
Phone (717) 843-9089

Other identifiers 1

IdentifierTypeStateIssuer
05932430MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200103002321 PA Practitioner - Otolaryngology 7012282015 Reassigns benefits to 1 organization
I20200403002455 NY Practitioner - Otolaryngology 7012282015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Plattsburgh Otolaryngology-Head and Neck Surgery, PLLCGroup PAC ID 6709230675, 2 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

79 Hammond LN
Suite 12
Plattsburgh, NY 12901-2075
Phone (518) 566-7930

924 Colonial Ave
York, PA 17403-3450
Phone (717) 843-9089

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.35 of 100Reported as individual
Quality
93.73
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
297640-1NYMDOtolaryngology Physician
MD428037PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 22, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Dec 22, 2025 Accepting new patients
Plattsburgh Otolaryngology-Head and Neck Surgery, PLLC Otolaryngology CurrentSince Jul 7, 2023 Accepting new patients

Locations

79 Hammond Ln
Ste 12
Plattsburgh, NY 12901
Phone (518) 566-7930

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

924 Colonial Ave
Ste E
York, PA 17403
Phone (717) 843-9089

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Interoperability endpoints

  • Direct secure messaging: angela.powell@987914624958468.direct.elationemr.com
  • Direct secure messaging: apowell138825@direct-guthrie.org

Organizations & group practices 6

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

Hospital & facility affiliations 9

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1215005699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HAMMOND LN STE 12",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012008",
            "telephone_number": "518-566-7930",
            "fax_number": "518-566-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HAMMOND LN STE 12",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012008",
            "telephone_number": "518-566-7930",
            "fax_number": "518-566-7932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34520 Bob Wilson Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921342200",
            "country_code": "US",
            "telephone_number": "619-532-9636",
            "fax_number": "619-532-5119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "924 Colonial Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033450",
            "country_code": "US",
            "telephone_number": "717-843-9089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD428037",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "297640-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05932430",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.