DR. ANGELIQUE STACEY ANN FORRESTER MD
NPI 1053831149
Family Medicine in Shaw Afb, SC

Q: What is Angelique Forrester's NPI number?

The NPI number for Angelique Forrester is 1053831149. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Q: What is Angelique Forrester's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 21, 2017PECOS Enrolled

420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152(038) 956-2458 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2020, Jun 21, 2017 (2 updates tracked since 2017).

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About Dr. Angelique Stacey Ann Forrester Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANGELIQUE STACEY ANN FORRESTER MD (NPI 1053831149) is an individual family medicine provider in Shaw Afb, South Carolina, licensed in Florida (ME142708) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053831149

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ANGELIQUE STACEY ANN FORRESTERCredential: MD

Location Address420 POLIFKA DR BLDG 1042Shaw Afb, SC 29152-5100

Mailing Address420 Polifka DrShaw Afb, SC 29152-5100 · (803) 895-6356

Phone(038) 956-2458

Sole ProprietorNo

Enumeration DateJune 21, 2017

Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2026

✔ NPI 1053831149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME142708

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

420 POLIFKA DR BLDG 1042, Shaw Afb, SC 29152

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angelique Stacey Ann Forrester Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29152 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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