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MRS. HAZEL ANN SY ANG-TIPA
NPI 1427638337
Nurse Practitioner - Gerontology in Fayetteville, NC

Active since April 13, 2021PECOS Enrolled
2109 VALLEYGATE DR STE 201, FAYETTEVILLE, NC 28304(910) 486-8880(910) 486-8886 Get Directions Write a Review

NPPES record last updated: December 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 10, 2023, Apr 13, 2021 (2 updates tracked since 2021).

About Mrs. Hazel Ann Sy Ang-tipa NPPES

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

MRS. HAZEL ANN SY ANG-TIPA (NPI 1427638337) is an individual gerontology provider in Fayetteville, North Carolina, licensed in North Carolina (5019217) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427638337
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. HAZEL ANN SY ANG-TIPA
Location Address2109 VALLEYGATE DR STE 201Fayetteville, NC 28304-3571
Mailing Address2109 Valleygate Dr Ste 201Fayetteville, NC 28304-3571 · (910) 486-8880
Phone(910) 486-8880
Fax(910) 486-8886
Sole ProprietorNo
Enumeration DateApril 13, 2021
Last NPPES UpdateDecember 10, 20232 updates tracked since enumeration
NPPES CertifiedDecember 10, 2023
✔ NPI 1427638337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NC · 5019217
2109 VALLEYGATE DR STE 201, Fayetteville, NC 28304
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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)

Mrs. Hazel Ann Sy Ang-tipa 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 Hazel Ann Ang-tipa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rpk Center For Rehab, Spine & Pain
Same address
Physical Medicine & Rehabilitation
2109 VALLEYGATE DRIVE, SUITE 201
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 clinicians in this Medicare group
NPI 1093778110 (910) 486-8880

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
155 services90 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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.

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.

MR. EVAN JOSEPH PHILLIPS PA-C
Physician Assistant
2109 VALLEYGATE DR STE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 339-8475
ANDREA KISHBAUGH FNP-C
Nurse Practitioner (Family)
2109 VALLEYGATE DR STE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 486-8880
MRS. DENISE BUSBIN LOCKLEAR PA-C
Physician Assistant
2109 VALLEYGATE DR STE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 486-8880

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 Hazel Ann Ang-tipa's NPI number?

The NPI number for Hazel Ann Ang-tipa is 1427638337. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Hazel Ann Ang-tipa located?

Hazel Ann Ang-tipa practices at 2109 Valleygate Dr Ste 201, Fayetteville, NC 28304. The listed phone number is (910) 486-8880.

What is Hazel Ann Ang-tipa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Hazel Ann Ang-tipa enrolled in Medicare?

Yes. Hazel Ann Ang-tipa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hazel Ann Ang-tipa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hazel Ann Ang-tipa reassigns Medicare benefits to Rpk Center For Rehab, Spine & Pain (Fayetteville, NC). 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 Hazel Ann Ang-tipa'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 Hazel Ann Ang-tipa was last updated on December 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.