ANGIE MAE GIRARD FNP, RN
NPI 1164908042
Nurse Practitioner - Family in Greenbrae, CA
About Angie Mae Girard Fnp, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGIE MAE GIRARD FNP, RN (NPI 1164908042) is an individual family provider in Greenbrae, California, licensed in California (95010151) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Angie Mae Girard Fnp, Rn 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.
Medicare Billing Reassignment
Medicare enrollment records show Angie Girard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 94904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENBRAE, CA 94904
GREENBRAE, CA 94904
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 Angie Girard's NPI number?
The NPI number for Angie Girard is 1164908042. It was assigned to this individual provider in the NPPES registry on July 13, 2018. The provider is also known as Angie Mae Larson Rn.
Where is Angie Girard located?
Angie Girard practices at 350 Bon Air Ctr Ste 200, Greenbrae, CA 94904. The listed phone number is (415) 578-3095.
What is Angie Girard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Angie Girard enrolled in Medicare?
Yes. Angie Girard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Angie Girard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angie Girard reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). 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 Angie Girard'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 Angie Girard was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Angie Mae Girard, FNP, RN · NPI 1164908042
Family physician in Greenbrae, California. Individual provider, active in the CMS NPPES registry since July 13, 2018.
## Identity
- **NPI:** 1164908042 (Entity type: Individual)
- **Enumerated:** July 13, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95010151 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 350 BON AIR CTR STE 200, Greenbrae, CA 94904-3000
- **Phone:** (415) 578-3095
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164908042) · Data from the CMS NPPES public registry.