Individual provider Active NPI

Angela Lynn Pittman, C-AA

  • Anesthesiologist Assistant
  • Lapeer, MI
National Provider Identifier
1780195172
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
0022405557 Issued in MI
Practice address
1375 N Main St
Lapeer, MI 48446-1350
Phone
(810) 667-5500
NPI assigned
Oct 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 67.000311 OH
Anesthesiologist Assistant 367H00000X 0022405557 MI Primary

Addresses

Primary practice location

1375 N Main St
Lapeer, MI 48446-1350

Mailing address

3355 Glendale Ave FL 3
Toledo, OH 43614-2426
Phone (419) 383-3556

Other practice location 1

4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 473-3561

Other practice location 2

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171115003579 OH Practitioner - Anesthesiology Assistant 8628334166 Reassigns benefits to 3 organizations
I20240308002591 MI Practitioner - Anesthesiology Assistant 8628334166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians
University of Toledo Physicians LLCGroup PAC ID 8729983416, 400 clinicians

Practice addresses (Care Compare)

1375 N Main St
Lapeer, MI 48446-1350
Phone (810) 667-5500

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3578

Hospital & facility affiliations

  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193
  • University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

Merit-based Incentive Payment System (MIPS)

Final score
34.63 of 100Reported as group
Quality
23.09
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
69.17
Promoting interoperability
99
Improvement activities
40
Cost
75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0022405557MIMDAnesthesiologist Assistant
67.000311OHMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical University of Ohio at Toledo Current Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 29, 2020 Accepting new patients
University of Toledo Physicians LLC CurrentSince Oct 17, 2017 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
A4 of Ohio, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients

Locations

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

2006 Hogback Rd
Ste 5A
Ann Arbor, MI 48105
Phone (734) 786-2317

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

L4189
Columbus, OH 43260

5959 Monclova Rd
Maumee, OH 43537
Phone (419) 251-3740

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

3355 Glendale Ave
Fl 3
Toledo, OH 43614
Phone (419) 383-7100

3000 Arlington Ave
Ste 2C
Toledo, OH 43614
Phone (419) 383-3759

3330 Meijer Dr
#1
Toledo, OH 43617
Phone (419) 578-5020

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

Interoperability endpoints

  • Direct secure messaging: apittman24582@direct.utoledo.edu

Organizations & group practices 5

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 2

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1780195172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 GLENDALE AVE FL 3",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142426",
            "telephone_number": "419-383-3556",
            "fax_number": "419-383-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 N MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461350",
            "telephone_number": "810-667-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4235 Secor Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234299",
            "country_code": "US",
            "telephone_number": "419-473-3561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-383-3556",
            "fax_number": "419-383-3550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "credential": "C-AA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "OH",
            "license": "67.000311",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "MI",
            "license": "0022405557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.