NPIMap

Individual provider Active NPI

Angela Marie Skyberg, PA-C

  • Physician Assistant
  • Ada, MN
National Provider Identifier
1508917659
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9758 Issued in 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
Last updated
Mar 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9758 MN Primary

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 3

IdentifierTypeStateIssuer
144098500MedicaidMN
9758OtherMNSTATE OF MN PA LICENSE
1055636OtherNCCPA - NAT.CERT.COMM.PA

Other names 1

  • Angela Marie Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 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
I20050719000264 MN Practitioner - Physician Assistant 9739116013 Reassigns benefits to 9 organizations
I20080227000636 ND Practitioner - Physician Assistant 9739116013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 CenterGroup PAC ID 4981659851, 22 clinicians
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9758MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic LTD CurrentSince Mar 7, 2022 Accepting new patients
Graceville Health Center CurrentSince Oct 11, 2011 Accepting new patients
First Care Medical Services CurrentSince Feb 11, 2026 Accepting new patients
Innovis Health LLC CurrentSince Oct 5, 2011 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Mar 7, 2022 Accepting new patients
Innovis Health LLC CurrentSince Jun 18, 2018 Accepting new patients
St. Mary's Regional Health Center CurrentSince Jan 28, 2008 Accepting new patients
Bridges Medical Center CurrentSince Mar 1, 2005 Accepting new patients
Innovis Health LLC CurrentSince Oct 5, 2011 Accepting new patients
First Care Medical Services CurrentSince Feb 11, 2026 Accepting new patients
St Mary's Regional Health Center CurrentSince Jan 28, 2008 Accepting new patients
Graceville Health Center CurrentSince Jan 1, 2026 Accepting new patients
Innovis Health, LLC Past Accepting new patients
Essentia Health Virginia LLC Past Accepting new patients
Sanford Health of Northern Minnesota 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

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

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

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-4222

4110 51st Ave S
Fargo, ND 58104
Phone (701) 364-3100

4622 40th Ave S
Fargo, ND 58104
Phone (701) 232-6211

4622 40th Ave S
#7
Fargo, ND 58104
Phone (701) 364-2909

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 7

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1508917659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRIDGES MEDICAL CENTER",
            "address_2": "201 9TH STREET W.",
            "city": "ADA",
            "state": "MN",
            "postal_code": "56510",
            "telephone_number": "218-784-5000",
            "fax_number": "218-784-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRIDGES MEDICAL CENTER",
            "address_2": "201 9TH STREET W.",
            "city": "ADA",
            "state": "MN",
            "postal_code": "56510",
            "telephone_number": "218-784-5000",
            "fax_number": "218-784-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKYBERG",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144098500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MN PA LICENSE",
            "identifier": "9758",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA - NAT.CERT.COMM.PA",
            "identifier": "1055636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ANDERSON",
            "middle_name": "MARIE",
            "credential": "RT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ada, MN

Sources for this page

Verify at the official NPI Registry.