Angela Marie Skyberg, PA-C
Individual provider Active NPI Physician Assistant · Ada, MN
NPI 1508917659 · NPPES record last updated Mar 23, 2016
Key facts
- NPI
- 1508917659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 9758 (MN)
- Practice address
- Bridges Medical Center
201 9TH Street W.
Ada, MN 56510 - Phone
- (218) 784-5000
- Fax
- (218) 784-3753
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 49
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bridges Medical Center
Innovis Health LLC
The Duluth Clinic LTD
Practice addresses (Care Compare)
201 9TH St W
Ada, MN 56510-1279
3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
4110 51St Ave S
Fargo, ND 58104-7776
Phone (701) 364-3100
420 E 1St St
Duluth, MN 55805-1901
Phone (218) 786-8364
Hospital & facility affiliations
- Essentia Health Home Care West
- Essentia Health Ada
- Essentia Health St Marys - Detroit Lakes
- Essentia Health Holy Trinity Hospital
- Essentia Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050719000264 | MN | Practitioner - Physician Assistant | 9739116013 | Reassigns benefits to 9 organizations |
| I20080227000636 | ND | Practitioner - Physician Assistant | 9739116013 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9758 | MN | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovis Health LLC | Current |
Accepting new patients | |
| St. Mary'S Regional Health Center | Current |
Accepting new patients | |
| The Duluth Clinic LTD | Current |
Accepting new patients | |
| Innovis Health LLC | Current |
Accepting new patients | |
| St Mary'S Regional Health Center | Current |
Accepting new patients | |
| Bridges Medical Center | Current |
Accepting new patients | |
| Graceville Health Center | Current |
Accepting new patients | |
| First Care Medical Services | Current |
Accepting new patients | |
| Graceville Health Center | Current |
Accepting new patients | |
| First Care Medical Services | Current |
Accepting new patients | |
| Innovis Health LLC | Current |
Accepting new patients | |
| Bridges Medical Center | Current |
Accepting new patients | |
| The Duluth Clinic, LTD. | Current |
Accepting new patients | |
| Sanford Health of Northern Minnesota | Past | Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients | |
| Innovis Health, LLC | Past | Accepting new patients |
Locations
201 9th St W
Ada, MN 56510
Phone (218) 784-2727
1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300
420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
900 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133
720 Main Ave
Moorhead, MN 56560
Phone (218) 359-0399
208 Oppegard Ave NW
Twin Valley, MN 56584
Phone (218) 584-5181
4622 40th Ave S
#7
Fargo, ND 58104
Phone (701) 364-2909
4110 51st Ave S
Fargo, ND 58104
Phone (701) 364-3100
4622 40th Ave S
Fargo, ND 58104
Phone (701) 232-6211
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9758 | MN | Yes |
Addresses
Primary practice location
Bridges Medical Center
201 9TH Street W.
Ada, MN 56510
Mailing address
Bridges Medical Center
201 9TH Street W.
Ada, MN 56510
Phone (218) 784-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1055636 | Other | NCCPA - NAT.CERT.COMM.PA | |
| 9758 | Other | MN | STATE OF MN PA LICENSE |
| 144098500 | Medicaid | MN |
Other names
- Angela Marie Anderson
Other providers in Ada, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.