NPIMap

Individual provider Active NPI

Angela Lynn Thene, PA-C

  • Physician Assistant
  • Little Falls, MN
National Provider Identifier
1477196830
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13157 Issued in MN
Practice address
1108 1St St SE
Little Falls, MN 56345-3440
Phone
(320) 631-2200
Fax
(320) 632-3728
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X SD
Physician Assistant 363A00000X 13157 MN Primary

Addresses

Primary practice location

1108 1St St SE
Little Falls, MN 56345-3440

Mailing address

1108 1St St SE
Little Falls, MN 56345-3440
Phone (320) 631-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Epic Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20200929001824 MN Practitioner - Physician Assistant 3375979966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Family HealthcareGroup PAC ID 9830003516, 65 clinicians

Practice addresses (Care Compare)

1108 1St St SE
Little Falls, MN 56345-3440
Phone (320) 632-3761

525 Main St W
Melrose, MN 56352-1043
Phone (320) 256-4231

815 2ND St SE
Little Falls, MN 56345-3505
Phone (320) 632-5441

Hospital & facility affiliations

  • St Gabriels Hospital Hospital, Little Falls, MN, CCN 241370
  • Centracare Health System - Sauk Centre Hospital, Sauk Centre, MN, CCN 241368

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1225SDMDClinical Social Worker
13157MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Family Healthcare CurrentSince Sep 1, 2020 Accepting new patients
Unity Family Healthcare CurrentSince Sep 1, 2020 Accepting new patients
Unity Family Healthcare Past Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

1108 1st St SE
Little Falls, MN 56345
Phone (320) 632-3671

811 2nd St SE
Little Falls, MN 56345
Phone (320) 631-7000

Interoperability endpoints

  • Direct secure messaging: astevens534770@direct.centracare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1477196830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 1ST ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453440",
            "telephone_number": "320-631-2200",
            "fax_number": "320-632-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 1ST ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453440",
            "telephone_number": "320-631-2200",
            "fax_number": "320-632-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THENE",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "endpointDescription": "EPIC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EPIC",
            "address_1": "1108 1st St SE",
            "city": "Little Falls",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563453440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.