Individual provider Active NPI

Angela Mayo Hinnenkamp, PA

  • Surgical Physician Assistant
  • Hendersonville, NC
National Provider Identifier
1891888624
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
001000160 Issued in NC
Practice address
1027 Fleming St
Hendersonville, NC 28791-3573
Phone
(828) 696-3099
Fax
(828) 696-3868
NPI assigned
Oct 2, 2006
Last updated
Nov 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 001000160 NC Primary

Addresses

Primary practice location

1027 Fleming St
Hendersonville, NC 28791-3573

Mailing address

1027 Fleming St
Hendersonville, NC 28791-3573
Phone (828) 692-5781

Other identifiers 1

IdentifierTypeStateIssuer
611186890OtherNCFEDERAL TAX ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20060213000434 NC Practitioner - Physician Assistant 3274548276 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
Group practices

Practice addresses (Care Compare)

288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Phone (828) 286-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001000160NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Mar 1, 2015 Accepting new patients
Henderson County Hospital Corporation CurrentSince Mar 1, 2015 Accepting new patients
Hendersonville Orthopeadics, PLLC Past Accepting new patients
Larry J Russell Past Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

1027 Fleming St
Hendersonvlle, NC 28791
Phone (828) 692-0238

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

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, 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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1891888624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 FLEMING ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913573",
            "telephone_number": "828-692-5781",
            "fax_number": "828-696-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 FLEMING ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913573",
            "telephone_number": "828-696-3099",
            "fax_number": "828-696-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINNENKAMP",
        "first_name": "ANGELA",
        "middle_name": "MAYO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "001000160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID#",
            "identifier": "611186890",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.