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DR. ANGELA OH PARK ANTIPIN M.D.
NPI 1265726244
Family Medicine in Kernersville, NC

Active since June 07, 2011PECOS Enrolled
794 S MAIN ST STE B, KERNERSVILLE, NC 27284(336) 904-2317(336) 443-6030 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2021, Nov 21, 2019 (2 updates tracked since 2019).

About Dr. Angela Oh Park Antipin M.d. NPPES

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

DR. ANGELA OH PARK ANTIPIN M.D. (NPI 1265726244) is an individual family medicine provider in Kernersville, North Carolina, licensed in North Carolina (2014-01407) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ridgeway.

NPPES Registry Identity

NPI1265726244
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANGELA OH PARK ANTIPINCredential: M.D.
Location Address794 S MAIN ST STE BKernersville, NC 27284-4074
Mailing AddressPo Box 751803Charlotte, NC 28275-1803
Phone(336) 904-2317
Fax(336) 443-6030
Sole ProprietorNo
Enumeration DateJune 7, 2011
Last NPPES UpdateJuly 30, 20212 updates tracked since enumeration
NPPES CertifiedJuly 30, 2021
✔ NPI 1265726244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 2014-01407✔ Licensed in VA · 0101255706✔ Licensed in NC · 173154
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.
794 S MAIN ST STE B, Kernersville, NC 27284
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Secondary Practice Location 1

Location 16460 Greensboro RoadRidgeway, VA 24148-3478 · Phone (276) 956-2047 · Fax (276) 956-1637

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angela Oh Park Antipin M.d. 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 Antipin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Provider Profile
36 mi
Family Medicine
6460 GREENSBORO RD
Ridgeway, VA 24148
  • Reassigned Medicare billing, Virginia enrollment
  • 2 clinicians in this Medicare group
NPI 1457467037 (276) 956-2047

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 27284 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier16 claims20 services$199.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

MRS. PAULA PLASTER WOOD NP-C
Nurse Practitioner
794 S MAIN ST STE B
KERNERSVILLE, NC 27284
Forsyth County (336) 904-2317
MR. FRANK JOSEPH COLELLA FNP-BC
Nurse Practitioner
794 S MAIN ST STE B
KERNERSVILLE, NC 27284
Forsyth County (336) 904-2317
DR. JOHN CHADLEY HOLLAND DO
Family Medicine
794 S MAIN ST STE B
KERNERSVILLE, NC 27284
Forsyth County (336) 904-2317
KEVIN BRADFORD WALKER PA-C
Physician Assistant
794 S MAIN ST STE B
KERNERSVILLE, NC 27284
Forsyth County (336) 904-2317
CHRISTINA CECILIA STIEBER PA-C
Physician Assistant
794 S MAIN ST STE B
KERNERSVILLE, NC 27284
Forsyth County (336) 904-2317
BRANDY L EMBRY PA
Physician Assistant
794 S MAIN ST STE B
KERNERSVILLE, NC 27284
Forsyth County (336) 904-2317
JASON BRADLEY NEWMAN P.A.
Physician Assistant
794 S MAIN ST STE B
KERNERSVILLE, NC 27284
Forsyth County (336) 904-2317

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 Antipin's NPI number?

The NPI number for Angela Antipin is 1265726244. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Angela Antipin located?

Angela Antipin practices at 794 S Main St Ste B, Kernersville, NC 27284. The listed phone number is (336) 904-2317.

What is Angela Antipin's specialty?

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

Is Angela Antipin enrolled in Medicare?

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

Which organization bills Medicare for Angela Antipin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Antipin reassigns Medicare benefits to (Ridgeway, VA). 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 Antipin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Antipin accept?

Health plans from Blue Cross and Blue Shield of Montana, BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Angela Antipin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angela Antipin was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.