Angela T Robb, P.A.C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

714 Issued in NE

Practice address

1625 Dorwart Dr
Sidney, NE 69162-2505

Phone

(308) 254-5544

Fax

(308) 254-2672

NPI assigned

Nov 2, 2006

Last updated

Aug 2, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sedgwick County Memorial HospitalGroup PAC ID 1052201100, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sedgwick County Memorial Hospital Hospital, Julesburg, CO, CCN 061310
• Sidney Regional Medical Center Hospital, Sidney, NE, CCN 281357
• Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Sedgwick County Memorial Hospital

  dba Valley Medical Clinic

  • Family Medicine Physician
  • Julesburg, CO
  • NPI 1881602738
  Medicare reassignment Care Compare group
• Sedgwick County Memorial Hospital

  dba Sedgwick County Health Center

  • Family Medicine Physician
  • Chappell, NE
  • NPI 1346013612
  Medicare reassignment NPD
• Sedgwick County Memorial Hospital

  • Critical Access Hospital
  • Julesburg, CO
  • NPI 1740295591
  NPD
• Regional West Physicians Clinic

  • Rural Health Clinic/Center
  • Mitchell, NE
  • NPI 1992703425
  NPD (past)

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

• Cheyenne County Hospital Association Inc

  dba Sidney Regional Medical Center

  • Critical Access Hospital
  • Sidney, NE
  • NPI 1487736963
  Care Compare affiliation
• Regional West Medical Center

  • General Acute Care Hospital
  • Scottsbluff, NE
  • NPI 1639101199
  Care Compare affiliation
• Sedgwick County Memorial Hospital

  • Critical Access Hospital
  • Julesburg, CO
  • NPI 1740295591
  Care Compare affiliation

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186012800000",
    "number": "1295813640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 DORWART DR",
            "address_2": "PO BOX 379",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622505",
            "telephone_number": "308-254-5544",
            "fax_number": "308-254-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 DORWART DR",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622505",
            "telephone_number": "308-254-5544",
            "fax_number": "308-254-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBB",
        "first_name": "ANGELA",
        "middle_name": "T",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Renne Revell
• Jamie Rezac, MS, OTR/L
• Cory Richa
• Samantha Lanae Rios
• Robb Physical Therapy and Chiropractic, LLC (Kelly Robb, PT, AT)
• Derek Robb, DC
• Kelly Robb, DPT
• Jesse Robinson, PHARMD
• Deanna Rogers
• Sharon Rogers

• Physician Assistant in Sidney, NE
• Providers in Sidney, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.