Individual provider Active NPI

Angela J Houfek, PA-C

  • Physician Assistant
  • Green Bay, WI
National Provider Identifier
1497312300
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4799 Issued in WI
Practice address
704 S Webster Ave
Green Bay, WI 54301-3528
Phone
(920) 433-6050
Fax
(920) 433-6049
NPI assigned
May 26, 2019
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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 5601011012 MI
Physician Assistant 363A00000X 4799 WI Primary

Addresses

Primary practice location

704 S Webster Ave
Green Bay, WI 54301-3528

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210

Other practice location 1

610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488

Other practice location 2

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

Other identifiers 3

IdentifierTypeStateIssuer
5601011012OtherMIMI PROFESSIONAL LICENSE
100091593MedicaidWI
1164337OtherNATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSISTANTS

Other names 1

  • Angela J Obermeier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190729001798 WI Practitioner - Physician Assistant 4880920834 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
Telehealth
Offers telehealth services
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

2020 S Webster Ave
Accounting
Green Bay, WI 54301-3505

704 S Webster Ave
Green Bay, WI 54301-3528

725 S Webster Ave
Green Bay, WI 54301-3504
Phone (920) 433-3456

744 S Webster Ave
Green Bay, WI 54301-3505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601011012MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Mar 1, 2022 Accepting new patients
Baycare Clinic LLP CurrentSince Aug 15, 2019 Accepting new patients
Baycare Clinic LLP CurrentSince Aug 15, 2019 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Mar 1, 2022 Accepting new patients
Oconto Hospital & Medical Center Inc Past Accepting new patients
Bellin Memorial Hospital Inc Past Accepting new patients

Locations

610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

1035 Kepler Dr
Green Bay, WI 54311

164 N Broadway
Green Bay, WI 54303
Phone (920) 965-4055

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

704 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-3784

704 S Webster Ave
Ste 501
Green Bay, WI 54301
Phone (920) 433-6050

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

3415 Custer St
Ste D
Manitowoc, WI 54220
Phone (920) 652-9310

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

5000 Memorial Dr
Two Rivers, WI 54241
Phone (920) 794-5000

Interoperability endpoints

  • Direct secure messaging: ahoufek319645@direct.thedacare.org
  • Direct secure messaging: ahoufek925101@direct.emplifyhealth.org

Organizations & group practices 7

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 1

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": "1558828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1497312300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7210",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013528",
            "telephone_number": "920-433-6050",
            "fax_number": "920-433-6049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 S Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "49829",
            "country_code": "US",
            "telephone_number": "906-786-6488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Iron Mountain",
            "state": "MI",
            "postal_code": "49801",
            "country_code": "US",
            "telephone_number": "906-776-9040",
            "fax_number": "920-774-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUFEK",
        "first_name": "ANGELA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-26",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011012",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI PROFESSIONAL LICENSE",
            "identifier": "5601011012",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091593",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIANS ASSISTANTS",
            "identifier": "1164337",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "OBERMEIER",
            "middle_name": "J",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.