Active NPI
Angela Stickler, PA-C
- Physician Assistant
- Hugo, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14150
- Practice address
- 14701 Victor Hugo Blvd N Mail Stop 35200a
Hugo, MN 55038 - Phone
- (651) 767-1900
- Fax
- (651) 767-1901
- NPI assigned
- Aug 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14150 | MN | Primary |
Addresses
Primary practice location
14701 Victor Hugo Blvd N Mail Stop 35200a
Hugo, MN 55038
Mailing address
PO Box 1309 - Mail Stop 21110Q
Minneapolis, MN 55440-1309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Curve Crest W Blvd
Stillwater, MN 55082-6040
Phone (651) 439-1234
403 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6700
405 Stageline Rd
Hudson, WI 54016-7848
Phone (651) 265-1999
411 Stageline Rd
Suite 200
Hudson, WI 54016-7848
Phone (715) 531-6700
744 E Louisiana St
Saint Croix Falls, WI 54024-9501
Phone (866) 544-6741
8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148
927 Churchill W St
Stillwater, MN 55082-6605
Phone (651) 439-5330
Hospital & facility affiliations
- Lakeview Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients |
Locations
14701 Victor Hugo Blvd N
Stop 35200A
Hugo, MN 55038
Phone (651) 767-1900
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
1500 Curve Crest Blvd W
Stillwater, MN 55082
744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Stillwater, MN
- NPI 1245608454
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stillwater, MN
- NPI 1538138003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1992423610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1309 - MAIL STOP 21110Q",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554401309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14701 VICTOR HUGO BLVD N MAIL STOP 35200A",
"city": "HUGO",
"state": "MN",
"postal_code": "55038",
"telephone_number": "651-767-1900",
"fax_number": "651-767-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STICKLER",
"first_name": "ANGELA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "14150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hugo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.