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ANGELA LYNN WITTENAUER FNP-C
NPI 1073016192
Nurse Practitioner - Family in Decatur, GA

Active since March 15, 2018PECOS Enrolled
92.26/100
CMS Quality Rating
3155 REHOBOTH DR, DECATUR, GA 30033(404) 550-0807 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angela Lynn Wittenauer Fnp-c NPPES

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

ANGELA LYNN WITTENAUER FNP-C (NPI 1073016192) is an individual family provider in Decatur, Georgia, licensed in Georgia (RN170559) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073016192
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA LYNN WITTENAUERCredential: FNP-C
Location Address3155 REHOBOTH DRDecatur, GA 30033-3338
Mailing Address3155 Rehoboth DrDecatur, GA 30033-3338 · (404) 550-0807
Phone(404) 550-0807
Sole ProprietorNo
Enumeration DateMarch 15, 2018
✔ NPI 1073016192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN170559
3155 REHOBOTH DR, Decatur, GA 30033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Lynn Wittenauer Fnp-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Angela Wittenauer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Emory Clinic Inc
4.0 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Wittenauer's NPI number?

The NPI number for Angela Wittenauer is 1073016192. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Angela Wittenauer located?

Angela Wittenauer practices at 3155 Rehoboth Dr, Decatur, GA 30033. The listed phone number is (404) 550-0807.

What is Angela Wittenauer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angela Wittenauer enrolled in Medicare?

Yes. Angela Wittenauer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Wittenauer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Wittenauer reassigns Medicare benefits to The Emory Clinic Inc (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Wittenauer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angela Wittenauer was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.