ANGELA PAILTHORPE PA-C
NPI 1083358436
Physician Assistant in Traverse City, MI

Q: What is Angela Pailthorpe's NPI number?

The NPI number for Angela Pailthorpe is 1083358436. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Q: What is Angela Pailthorpe's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Pailthorpe was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since April 22, 2022PECOS EnrolledAccepts Medicare Assignment

4045 W ROYAL DR, TRAVERSE CITY, MI 49684(231) 929-5734(231) 935-0312 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2025, Dec 30, 2022, Apr 22, 2022 (3 updates tracked since 2022).

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About Angela Pailthorpe Pa-c NPPES

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

ANGELA PAILTHORPE PA-C (NPI 1083358436) is an individual physician assistant in Traverse City, Michigan, licensed in Michigan (5601011101) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083358436

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANGELA PAILTHORPECredential: PA-C

Location Address4045 W ROYAL DRTraverse City, MI 49684-8965

Mailing Address4045 W Royal DrTraverse City, MI 49684-8965 · (231) 929-5734 · Fax (231) 935-0312

Phone(231) 929-5734

Fax(231) 935-0312

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 22, 2022

Last NPPES UpdateMay 23, 20253 updates tracked since enumeration

NPPES CertifiedMay 23, 2025

✔ NPI 1083358436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601011101

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4045 W ROYAL DR, Traverse City, MI 49684

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angela Pailthorpe Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961889035

PECOS Enrollment IDI20220510002201

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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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